Individual
DR. PRECIOUS AYODELE LANA MACAULEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
6025 WALNUT GROVE RD STE 508, MEMPHIS, TN 38120-2125
(901) 767-5864
(901) 767-6591
Mailing address
2120 EXETER RD, STE 250, GERMANTOWN, TN 38138-3931
(901) 767-5864
(901) 767-6591
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
28660
MS
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
63173
TN
207RP1001X
Pulmonary Disease Physician
28660
MS
207RP1001X
Pulmonary Disease Physician
Primary
63173
TN
Other
Enumeration date
07/06/2015
Last updated
01/24/2022
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