Individual
PATRICIA A CHISHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6027 WALNUT GROVE, SUITE 110, MEMPHIS, TN 38120
(901) 226-3520
(901) 226-2012
Mailing address
P.O. BOX 405827, ATLANTA, GA 30384-5827
(901) 227-4068
(870) 934-5384
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39713
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33366301
—
TN
Enumeration date
08/10/2005
Last updated
11/09/2012
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