MEDICARE: DENISE M HIGHTOWER MD

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
1	207Q00000X	Family Medicine Physician	32177	TN

General Provider Information

NPI Number	:	1396799300
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENISE M HIGHTOWER MD

Provider Business Mailing Address
First Line	:	PO BOX 750183
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38175-0183
Country	:	US
Telephone Number	:	901-754-3200
Fax Number	:	901-754-3333

Provider Business Practice Location Address
First Line	:	2900 KIRBY RD
Second Line	:	STE 14
City	:	MEMPHIS
State	:	TN
Zip	:	38119-8221
Country	:	US
Telephone Number	:	901-754-3200
Fax Number	:	901-754-3333

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2006
Last Update Date	:	08/15/2007

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Directions to “ DENISE M HIGHTOWER MD” Practice Location

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