MEDICARE: MRS. RHONDA GADDY BANTOM

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	183500000X	Pharmacist	9331	TN

General Provider Information

NPI Number	:	1255535183
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RHONDA GADDY BANTOM

Provider Business Mailing Address
First Line	:	8862 RIVER PINE DR
Second Line	:
City	:	CORDOVA
State	:	TN
Zip	:	38016-7100
Country	:	US
Telephone Number	:	901-251-0152
Fax Number	:

Provider Business Practice Location Address
First Line	:	8862 RIVER PINE DR
Second Line	:
City	:	CORDOVA
State	:	TN
Zip	:	38016-7100
Country	:	US
Telephone Number	:	901-251-0152
Fax Number	:

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

Provider Enumeration Date	:	06/13/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1659804284 — FATIMA HASSAN M.D.
Practice Location Address:

7556 CRYSTAL LAKE DRIVE CORDOVA 38016 TN
MEMPHIS, TN
38163-0001

Practice Phone: 240-505-2102
Practice Fax:

1700403946 — EMORY ANN KLINDWORTH APRN
Practice Location Address:

8115 COUNTRY VILLAGE DR
CORDOVA, TN
38016-2030

Practice Phone: 901-752-2300
Practice Fax: 901-752-2348

1558365429 — DR. ERICA PATRESE ODUM M.D.
Practice Location Address:

1665 BONNIE LN , SUITE 101
CORDOVA, TN
38016-0548

Practice Phone: 901-531-8555
Practice Fax: 901-531-8560

1841295359 — MRS. ALICIA JACKSON JUCKETT LPT
Practice Location Address:

8110 CORDOVA RD , STE 107
CORDOVA, TN
38016-0520

Practice Phone: 901-756-1650
Practice Fax: 901-756-1396

1013913474 — DR. THOMAS DAVID GREENWELL JR. M.D.
Practice Location Address:

7606 CHAPEL CREEK PKWY N
CORDOVA, TN
38016-2848

Practice Phone: 901-230-2869
Practice Fax:

1700882933 — MR. MICHAEL L. SMITH LPT
Practice Location Address:

1650 BONNIE LN , STE 104
CORDOVA, TN
38016-0517

Practice Phone: 901-756-1650
Practice Fax: 901-756-1396

Directions to “ MRS. RHONDA GADDY BANTOM ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.