Mcglothan, Corey Shane

Mcglothan, Corey Shane is an individual health care provider with primary practice located at 1264 Wesley Dr Ste 402, Memphis TN 38116-6400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as his primary health care specialty. Mcglothan, Corey Shane can be contacted via phone (901) 396-5577.

Contact Information

Primary practice address
1264 Wesley Dr Ste 402 Memphis TN 38116-6400
Phone: (901) 396-5577
Fax: (901) 396-5585
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 207VX0000X Tennessee

Profile Details

NPI number 1609985522
LBN Legal business name Mcglothan, Corey Shane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Dec 20th, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609985522 NPPES
Tennessee MEDICAID 3886979

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