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Individual

SCOTT WOOD KIRSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4250 BETHEL RD, OLIVE BRANCH, MS 38654
(901) 516-1290
(901) 516-1220
Mailing address
P O BOX 1000 DEPT 351, MEMPHIS, TN 38148-0001
(901) 758-9900
(901) 752-2335

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD40980
TN
208M00000X
Hospitalist Physician
40980
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1952356206
TN
05
Q018320
TN
Enumeration date
05/24/2006
Last updated
09/04/2018
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