Individual
DR. CORY LYNN NEWSOM-BROUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4250 FARONIA RD, MEMPHIS, TN 38116-6527
(901) 332-8892
Mailing address
4762 GILBERT RD, MEMPHIS, TN 38116-7301
(901) 396-2797
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8043
TN
Other
Enumeration date
10/12/2005
Last updated
06/30/2011
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