Healthcare Provider Details

I. General information

NPI: 1730385915
Provider Name (Legal Business Name): SEMMES-MURPHEY CLINIC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2007
Last Update Date: 10/24/2023
Certification Date: 10/24/2023
Deactivation Date: 08/10/2020
Reactivation Date: 08/14/2020

III. Provider practice location address

6325 HUMPHREYS BLVD
MEMPHIS TN
38120-2300
US

IV. Provider business mailing address

6325 HUMPHREYS BLVD
MEMPHIS TN
38120-2300
US

V. Phone/Fax

Practice location:
  • Phone: 901-522-7700
  • Fax:
Mailing address:
  • Phone: 901-522-7700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State

VIII. Authorized Official

Name: JOHN LEWIS
Title or Position: CEO
Credential:
Phone: 901-522-7700