Individual
DR. LAURA GRESE WILLINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
877 JEFFERSON AVE, MEMPHIS, TN 38103
(901) 515-3800
(901) 515-3509
Mailing address
877 JEFFERSON AVENUE, ATTN: PROVIDER ENROLLMENT, MEMPHIS, TN 38103
(901) 545-6286
(901) 545-8122
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD0000057302
TN
Other
Enumeration date
04/09/2014
Last updated
07/23/2018
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