Spencer, Gene David

Spencer, Gene David is an individual health care provider with primary practice located at 7550 Wolf River Blvd Suite 200, Germantown TN 38138-1745. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Spencer, Gene David can be contacted via phone (901) 542-6801.

Contact Information

Primary practice address
7550 Wolf River Blvd Suite 200 Germantown TN 38138-1745
Phone: (901) 542-6801
Fax: (901) 542-6871
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X MD0000023472 Tennessee

Profile Details

NPI number 1447284583
LBN Legal business name Spencer, Gene David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Dec 9th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447284583 NPPES
Tennessee MEDICAID 3031202
Tennessee MEDICAID 3069960
Tennessee Other 96815
Tennessee MEDICAID 122674001
Tennessee Other 3031202
Tennessee MEDICAID 203599402
Tennessee MEDICAID 0112994

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