Organization
EAST MEMPHIS CENTER FOR WOMEN'S HEALTH, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY H LIPSCOMB MD (PRESIDENT)
(901) 481-3033
Entity
Organization
Contact information
Practice address
6005 PARK AVE, SUITE 825B, MEMPHIS, TN 38119-5202
(901) 481-3033
Mailing address
6005 PARK AVE, SUITE 825B, MEMPHIS, TN 38119-5202
(901) 481-3033
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
14222
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14222
MEDICAL LICENSE
TN
Enumeration date
08/31/2009
Last updated
08/31/2009
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