Individual
JUSTIN MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6029 WALNUT GROVE RD, SUITE 404, MEMPHIS, TN 38120-2112
(901) 726-1056
(901) 726-5867
Mailing address
6029 WALNUT GROVE RD, SUITE 404, MEMPHIS, TN 38120-2112
(901) 726-1056
(901) 726-5867
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
38516
TN
208C00000X
Colon & Rectal Surgery Physician
Primary
38516
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3893973
—
TN
01
—
P00207461
RAILROAD MEDICARE
TN
Enumeration date
08/30/2006
Last updated
07/09/2021
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