Organization
SHELBY COUNTY HEALTH CARE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES PROCTOR (CHIEF FINANCIAL OFFICER)
(901) 545-8254
Entity
Organization
Contact information
Practice address
877 JEFFERSON AVE, MEMPHIS, TN 38103-2807
(901) 545-8336
(901) 545-8122
Mailing address
877 JEFFERSON AVE, ATTN: PROVIDER ENROLLMENT, MEMPHIS, TN 38103-2807
(901) 545-6286
(901) 545-8122
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
—
—
207RX0202X
Medical Oncology Physician
—
—
207VX0201X
Gynecologic Oncology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
08/02/2005
Last updated
08/20/2025
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