Organization
BLUES CITY PSYCHIATRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHUBI R MUKATIRA MD (OWNER)
(901) 737-1992
Entity
Organization
Contact information
Practice address
8336 MACON RD, CORDOVA, TN 38018-8554
(901) 682-3035
(901) 628-3049
Mailing address
1138 N GERMANTOWN PKWY, SUITE 101-110, CORDOVA, TN 38016-5872
(901) 737-1992
(901) 309-8784
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
42712
TN
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
08/09/2010
Last updated
08/20/2024
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