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NPI Code Detail

MEDICARE: REBECCA R MCINTYRE M.D.

MEDICARE:   REBECCA R MCINTYRE  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VG0400XGynecology Physician13945TN

General Provider Information

NPI Number : 1174524508
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA R MCINTYRE M.D.
Provider Business Mailing Address
First Line : 1500 W POPLAR AVE
Second Line : SUITE 308
City : COLLIERVILLE
State : TN
Zip : 38017-0601
Country : US
Telephone Number : 901-414-0017
Fax Number : 901-726-0210
Provider Business Practice Location Address
First Line : 1500 W POPLAR AVE
Second Line : SUITE 308
City : COLLIERVILLE
State : TN
Zip : 38017-0601
Country : US
Telephone Number : 901-414-0017
Fax Number : 901-726-0210
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 07/08/2007

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Directions to “ REBECCA R MCINTYRE M.D.” Practice Location

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