Individual
REGINALD LYVONNE WITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104
(901) 523-8990
(901) 577-7438
Mailing address
469 CHICKASAW LAND WAY, COLLIERVILLE, TN 38017-3329
(901) 861-5412
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
36399
TN
Other
Enumeration date
08/28/2006
Last updated
07/08/2007
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