Organization
GASTROENTEROLOGY CONSULTANTS. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE L WARDLAW M.D. (PRESIDENT/PHYSICIAN)
(901) 396-0311
Entity
Organization
Contact information
Practice address
1264 WESLEY DR, SUITE 602, MEMPHIS, TN 38116-6400
(901) 396-0311
Mailing address
1264 WESLEY DR, SUITE 602, MEMPHIS, TN 38116-6400
(901) 396-0311
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00014795
—
MS
Enumeration date
08/20/2007
Last updated
01/18/2008
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