person
Dr. Susie Boulos, MD
Specialist in Memphis, Tennessee
NPI 1174533145

Susie Boulos is a Specialist based in Germantown, TN. Susie Boulos practices in Memphis, TN and has the professional credentials of MD. The NPI Number for Susie Boulos is 1174533145 and holds a License No. 27769 (Tennessee).

The current practice location address for Susie Boulos is 1030 Jefferson Ave, Memphis, TN and can be reached out via phone at 901-523-8990.

Location: 1030 Jefferson Ave, Memphis, TN, 38139-3596
person
Provider Profile Details
NPI Number
1174533145
Provider Name
Susie Boulos
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1030 Jefferson Ave, Memphis, TN, 38139-3596
Phone Number
901-523-8990
Fax Number
Provider Enumeration Date
08/09/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1030 Jefferson Ave
City
State
Zip
38104-2127
Phone Number
901-523-8990
Fax Number
person
Provider Business Mailing Address Details
Address
1030 Jefferson Ave
City
State
Zip
38104-2127
Phone Number
901-523-8990
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
27769 (Tennessee)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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