Organization
TWYLA M TWILLIE MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TWYLA M TWILLIE MD (OWNER)
(901) 368-6883
Entity
Organization
Contact information
Practice address
4131 KIRBY PKWY STE 1, MEMPHIS, TN 38115-6500
(901) 368-6883
(901) 368-1803
Mailing address
103B SOUTHPOINTE, EDWARDSVILLE, IL 62025-3651
(618) 692-9640
(618) 692-9643
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
021752
TN
Other
Enumeration date
11/14/2006
Last updated
08/22/2020
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