Individual
HEIDI R UMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7600 WOLF RIVER BLVD, STE 200, GERMANTOWN, TN 38138
(901) 747-1000
(901) 747-1001
Mailing address
P.O. BOX 5083, MEMPHIS, TN 38101
(901) 383-9437
(901) 383-8985
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25090
AL
2085R0202X
Diagnostic Radiology Physician
Primary
55816
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08276596
—
MS
05
—
110019
—
AL
01
—
51598240
BCBS OF AL
AL
01
—
P00779110
RAILROAD MEDICARE
AL
Enumeration date
05/14/2007
Last updated
11/25/2024
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