Individual
RANDALL WISDOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3960 KNIGHT ARNOLD ROAD, SUITE 322, MEMPHIS, TN 38118-3009
(901) 369-4949
(901) 369-6029
Mailing address
3960 KNIGHT ARNOLD ROAD, SUITE 322, MEMPHIS, TN 38118-3009
(901) 369-4949
(901) 369-6029
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
621687667
TN
Other
Enumeration date
07/20/2009
Last updated
07/20/2009
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