NPI 1003855420
Collierville Orthopedics and
Practice location
- Address
- 472 W Poplar Ave STE 200, Collierville, TN 38017-2780
- Phone
- (901) 850-1150
- Fax
- (901) 850-1102
- Mailing address
- PO Box 9616, Belfast, ME 04915-9616
Authorised official
- Name
- Dede Coke
- Title
- Office Manager
- Phone
- (901) 850-1150
Registered specialties (2)
Sports Medicine (Orthopaedic Surgery) Physician
Primary
Orthopedic Physical Therapist
Registry record
- NPI
- 1003855420
- Entity type
- Organization
- NPI issued
- 5 Jun 2006
- Record last updated
- 1 Nov 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.