Individual
DR. MARIANNA RIVAS-COPPOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
848 ADAMS AVE, SUITE L400, MEMPHIS, TN 38103-2816
(901) 287-7337
Mailing address
51 N DUNLAP ST, SUITE G145, MEMPHIS, TN 38105-4625
(901) 287-5928
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
54257
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/28/2009
Last updated
08/30/2016
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