Individual
MICHAEL A WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1265 UNION AVE, MEMPHIS, TN 38104
(901) 516-2362
(901) 516-8254
Mailing address
PO BOX 1000 DEPT 351, MEMPHIS, TN 38148-0001
(901) 516-2362
(901) 516-8254
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
56021
TN
208000000X
Pediatrics Physician
56021
TN
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
56021
TN
208M00000X
Hospitalist Physician
56021
TN
Other
Enumeration date
04/29/2014
Last updated
07/19/2018
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