LATTIMORE MADISON MICHAEL II MD
Individual Provider (NPI-1)
Active
Neurological Surgery
Provider Information
- NPI Number
1164413928- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 6325 HUMPHREYS BLVD, MEMPHIS, TN, 381202300
- Phone
- (901) 522-7700
- Fax
- (901) 259-2022
Specialties & Taxonomies
Neurological Surgery
License: MS #19724
Neurological Surgery
Primary License: TN #32108
Neurological Surgery
License: AR #E-12953