Tomblyn, Michael

Tomblyn, Michael is an individual health care provider with primary practice located at 6019 Walnut Grove Rd , Memphis TN 38120-2113. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Therapeutic Radiology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Tomblyn, Michael can be contacted via phone (901) 226-0340.

Contact Information

Primary practice address
6019 Walnut Grove Rd Memphis TN 38120-2113
Phone: (901) 226-0340
Fax: (901) 226-0349
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 036140023 Illinois
Allopathic & Osteopathic Physicians / Therapeutic Radiology 2085R0203X ME104123 Florida
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 62366 Tennessee

Profile Details

NPI number 1083758544
LBN Legal business name Tomblyn, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2007
Last updated Apr 28th, 2021 - about 5 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 1083758544 NPPES
Florida MEDICAID 000764300

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