Organization
RICHARD P GUERRANT MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD PUTNEY GUERRANT MD (OWNER)
(901) 475-6607
Entity
Organization
Contact information
Practice address
1995 HIGHWAY 51 SOUTH, SUITE 111, COVINGTON, TN 38019
(901) 475-6607
(901) 475-6612
Mailing address
PO BOX 567, COVINGTON, TN 38019
(901) 475-6607
(901) 475-6612
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD015822
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116514
UNISON HEALTHCARE
TN
01
—
165608
TENNCARE SELECT
TN
05
—
3050723
—
TN
Enumeration date
08/30/2006
Last updated
08/26/2013
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