Organization
WOMEN'S HEALTHCARE OFFICE OF OBGYN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA M HARDY MD (PHYSICIAN)
(901) 345-4640
Entity
Organization
Contact information
Practice address
1264 WESLEY DR, SUITE 103, MEMPHIS, TN 38116-6400
(901) 345-4640
(901) 399-7973
Mailing address
PO BOX 40978, MEMPHIS, TN 38174-0978
(901) 345-4640
(901) 399-7973
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD020350
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3812313
—
TN
01
—
4041571
BLUE CROSS BLUE SHIELD
TN
Enumeration date
02/14/2007
Last updated
08/22/2020
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