Individual
DR. MICHAEL BRETT MASSENGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1863 UNION AVE, MEMPHIS, TN 38104-4028
(901) 272-2006
(901) 725-0021
Mailing address
1863 UNION AVE, MEMPHIS, TN 38104-4028
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36905
TN
Other
Enumeration date
09/02/2013
Last updated
09/02/2013
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