Witherspoon, Frank Glover
Witherspoon, Frank Glover is an individual health care provider with primary practice located at 1455 Union Ave , Memphis TN 38104-6727. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Witherspoon, Frank Glover can be contacted via phone (901) 726-6655.Contact Information
Primary practice address
1455 Union Ave
Memphis TN 38104-6727
Phone: (901) 726-6655
Fax: (901) 726-9056
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | MD11469 | Tennessee |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | MD11469 | Tennessee |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | MD11469 | Tennessee |
Profile Details
| NPI number | 1558338376 |
|---|---|
| LBN Legal business name | Witherspoon, Frank Glover |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558338376 | NPPES |
| Tennessee | MEDICAID | 3190092 |
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