Individual
DR. PENNY JOSEPHINE WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6019 WALNUT GROVE RD, MEMPHIS, TN 38120-2113
(901) 226-5000
Mailing address
PO BOX 634706, CINCINNATI, OH 45263-0001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
15477
MS
207P00000X
Emergency Medicine Physician
35766
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00118480
—
MS
05
—
3870030
—
TN
01
—
4024762
BLUE CROSS
TN
Enumeration date
06/07/2006
Last updated
12/17/2020
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