Individual
DR. TWYLA TWILLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1056 E RAINES RD, MEMPHIS, TN 38116-6337
(901) 300-5777
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(901) 300-5777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
021752
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2959624
—
OH
05
—
3810015288
—
WV
05
—
7100077670
—
KY
Enumeration date
04/18/2006
Last updated
07/07/2021
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