Churchwell, Luella Grigg
Churchwell, Luella Grigg is an individual health care provider with primary practice located at 1335 Cordova Cv , Germantown TN 38138-2200. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, which is considered as her primary health care specialty. Churchwell, Luella Grigg can be contacted via phone (901) 753-2794.Contact Information
Primary practice address
1335 Cordova Cv
Germantown TN 38138-2200
Phone: (901) 753-2794
Fax: (901) 753-8876
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology | 207NI0002X | MD18578 | Tennessee |
Profile Details
| NPI number | 1659360352 |
|---|---|
| LBN Legal business name | Churchwell, Luella Grigg |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2005 |
| Last updated | May 8th, 2024 - about 6 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659360352 | NPPES |
| Tennessee | MEDICAID | 3068672 | |
| Tennessee | Other | 3018898 |
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