Individual provider · Type 1 NPI
Timothy Gage Branham, MD
Student in an Organized Health Care Education/Training Program · Memphis, TN
NPI number
1194401109
Active
Practice location
6025 Walnut Grove Road Suite 207
Memphis, TN 38120
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1194401109
Timothy Gage Branham, MD's National Provider Identifier is 1194401109, issued on Jun 26, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Memphis, TN. The record was last updated on Jun 26, 2023.