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Individual

DR. MOHAMMED HUSSEIN AL-WADEI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPH., PHD., MD.

Contact information

Practice address
7736 AIRWAYS BLVD, SOUTHAVEN, MS 38671-5306
(662) 772-5222
(662) 772-5957
Mailing address
965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN 38120-9401

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0000064152
TN
207Q00000X
Family Medicine Physician
Primary
29882
MS
207Q00000X
Family Medicine Physician
64152
TN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/02/2019
Last updated
06/27/2022
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