Individual
DR. ALAN D EISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7600 WOLF RIVER BLVD, STE 200, GERMANTOWN, TN 38138-1784
(901) 747-1000
(901) 383-8985
Mailing address
PO BOX 5083, MEMPHIS, TN 38101-5083
(877) 448-8679
(901) 383-8985
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
21521
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0116070
—
MS
05
—
120412001
—
AR
01
—
132605
TN BCBS
TN
05
—
3062300
—
TN
01
—
96065
AR BCBS
AR
Enumeration date
05/16/2006
Last updated
08/10/2016
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