Individual
CHARLES MAURICE GROESCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1265 UNION AVE, MEMPHIS, TN 38104-3415
(901) 516-2362
(901) 516-8254
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
28215
MS
207R00000X
Internal Medicine Physician
Primary
55937
TN
207R00000X
Internal Medicine Physician
E-13476
AR
208M00000X
Hospitalist Physician
55937
TN
Other
Enumeration date
05/22/2014
Last updated
01/11/2024
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