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Individual

RICHARD TANNER GRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(888) 226-4343
Mailing address
262 DANNY THOMAS PL # MS 515, MEMPHIS, TN 38105-3678

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35139588
OH
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
35139588
ND
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
61823
TN

Other

Enumeration date
03/30/2012
Last updated
07/15/2020
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