Grandberry, Deidrea Latrice
Grandberry, Deidrea Latrice is an individual health care provider with primary practice located at 7705 Poplar Ave Ste 150 Bldg B, Memphis TN 38138-3930. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as her primary health care specialty. Grandberry, Deidrea Latrice can be contacted via phone (901) 276-3222.Contact Information
Primary practice address
7705 Poplar Ave Ste 150 Bldg B
Memphis TN 38138-3930
Phone: (901) 276-3222
Fax: (901) 276-1398
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | MD38629 | Tennessee |
Profile Details
| NPI number | 1588715254 |
|---|---|
| LBN Legal business name | Grandberry, Deidrea Latrice |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Nov 10th, 2011 - about 13 years 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.
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