Most Relevant Information
Provider Data
NPI Number: | 1003554031 |
Provider Name: | MEREDITH ELIZABETH GATES PA |
Entity Type: | Individual |
Taxonomy Code: | 363AS0400X |
Specialty: | Physician Assistant |
License Number: | 5157 |
Most Important Dates
Enumeration Date: | 05/20/2022 |
Last Updated: | 10/26/2022 |
Provider Practice Location
877 JEFFERSON AVE
MEMPHIS
TN
381032807
Practice Location Phone/Fax
Phone: | 9015457100 |
Fax: |
Provider Mailing Location
877 JEFFERSON AVE
MEMPHIS
TN
381032807
Provider Mailing Phone/Fax
Phone: | |
Fax: |