Photopulos, Guy J

Photopulos, Guy J is an individual health care provider with primary practice located at 877 Jefferson Ave , Memphis TN 38103-2807. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Photopulos, Guy J can be contacted via phone (901) 545-8999.

Contact Information

Primary practice address
877 Jefferson Ave Memphis TN 38103-2807
Phone: (901) 545-8999
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X E1662 Arkansas
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 11396 Tennessee

Profile Details

NPI number 1679502454
LBN Legal business name Photopulos, Guy J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2006
Last updated Jan 17th, 2018 - about 6 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 1679502454 NPPES
Tennessee MEDICAID 1507228
Tennessee Other 4165052

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