Individual
DR. HENRY CLINTON TALLEY V
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, CRNA
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
(901) 577-7435
Mailing address
810 RADIANCE DR, CORDOVA, TN 38018-3599
(901) 751-9746
(901) 751-9748
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
119263
TN
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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