Organization
EAST MEMPHIS UROLOGY CENTER, LP
Active
Other names
Urocenter
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICKY ALLEN SMITH M.D. (MEDICAL DIRECTOR)
(901) 747-3370
Entity
Organization
Contact information
Practice address
80 HUMPHREYS CTR, SUITE 310, MEMPHIS, TN 38120-2353
(901) 747-3370
(901) 747-3372
Mailing address
80 HUMPHREYS CTR, SUITE 310, MEMPHIS, TN 38120-2353
(901) 747-3370
(901) 747-3372
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0000000122
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3146732
BCBS PROVIDER NUMBER
TN
Enumeration date
02/14/2006
Last updated
08/22/2020
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