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Contact Information

MICHAEL TOMBLYN, MD
6019 WALNUT GROVE RD
MEMPHIS, TN38120-2113
 Phone: 901-226-0340
 Fax: 901-226-0349
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
 

Radiation Oncology

2085R0203X
Indicates primary specialty

NPI Profile & details for MICHAEL TOMBLYN · (Male)

NPI Number 1083758544
Status Active
Credentials MD
Entity Individual
Enumeration date 02/17/2007
Last updated 04/28/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME104123
  • IL License # 036140023
  • TN License # 62366
  • FL Medicaid 000764300
Hospital affiliation(s)
  • BAPTIST MEMORIAL HOSPITAL - (Acute Care)
    6019 WALNUT GROVE ROAD
    MEMPHIS, TN 38120
  • BAPTIST MEMORIAL HOSPITAL TIPTON - (Acute Care)
    1995 HIGHWAY 51 S
    COVINGTON, TN 38019
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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