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Contact Information

RANCE B WILBOURN, MD
2215 WEST ST STE 100
GERMANTOWN, TN38138
 Phone: 901-440-8482
 Fax: 901-440-8582
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for RANCE B WILBOURN · (Male)

NPI # 1063676690
Status Active
Credentials MD
Entity Individual
Enumeration date 07/14/2008
Last updated 12/16/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • KY License # IP958
  • MS License # 20766
  • SC License # 51679
  • TN License # 56737
  • AR Medicaid 230387001
  • MS Medicaid 04520877
  • TN Medicaid Q063676690
Hospital affiliation(s)
  • METHODIST HEALTHCARE MEMPHIS HOSPITALS - (Acute Care)
    1265 UNION AVE SUITE 700
    MEMPHIS, TN 38104
  • REGIONAL MEDICAL CENTER AT MEMPHIS - (Acute Care)
    877 JEFFERSON AVENUE
    MEMPHIS, TN 38103
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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