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Individual

DR. MARY PEYTON GUPTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
51 GERMANTOWN CT STE 309, CORDOVA, TN 38018-4290
(901) 333-0510
Mailing address
PO BOX 381468, GERMANTOWN, TN 38183-1468

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
26786
MS
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
50909
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007672279
MS
05
Q051547
TN
Enumeration date
06/12/2010
Last updated
02/10/2026
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