Individual
DONALD R MCGUKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 N HUMPHREYS BLVD, SUITE 400, MEMPHIS, TN 38120-2177
(901) 227-0497
(901) 227-0499
Mailing address
584 N GERMANTOWN PKWY, SUITE 110, CORDOVA, TN 38018-6240
(901) 753-7686
(901) 759-9968
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29738
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05083277
—
MS
01
—
37243
TLC
TN
05
—
3820523
—
TN
Enumeration date
06/04/2006
Last updated
11/29/2007
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