MEDICARE: HILBERT HOWARD NEASE III 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	207R00000X	Internal Medicine Physician	MD020610	TN

General Provider Information

NPI Number	:	1275553794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HILBERT HOWARD NEASE III MD

Provider Business Mailing Address
First Line	:	965 RIDGE LAKE BLVD STE 315
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38120-9401
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7205 WOLF RIVER BLVD STE 100
Second Line	:
City	:	GERMANTOWN
State	:	TN
Zip	:	38138-1758
Country	:	US
Telephone Number	:	901-260-3100
Fax Number	:	901-755-1113

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

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	05/09/2022

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