| Dr Detra Michelle Tisdale, MD | |
|
1144 N Houston Levee Rd, Suite 102, Cordova, TN 38018-7145 | |
| (901) 382-2044 | |
| Not Available |
| Full Name | Dr Detra Michelle Tisdale |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 1144 N Houston Levee Rd, Cordova, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730273079 | NPI | - | NPPES |
| 06837219 | Medicaid | MS | |
| 1369047 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 053713 (Georgia) | Secondary |
| 207R00000X | Internal Medicine | MD202661 (Louisiana) | Secondary |
| 207R00000X | Internal Medicine | 46435 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Detra Michelle Tisdale, MD 1144 N Houston Levee Rd, Suite 102, Cordova, TN 38018-7145 Ph: () - | Dr Detra Michelle Tisdale, MD 1144 N Houston Levee Rd, Suite 102, Cordova, TN 38018-7145 Ph: (901) 382-2044 |
Benjamin Brindley Holmes, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 57 Germantown Ct, Cordova, TN 38018 Phone: 901-435-8550 Fax: 901-478-0781 | |
Dr. Gary David Strasberg, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2551 Ashburton Pl N, Cordova, TN 38016 Phone: 901-275-4922 | |
Gregory K Jenkins, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8138 Country Village Dr, Cordova, TN 38016 Phone: 901-260-3100 Fax: 901-755-1113 | |
Dr. Sandra W Cohen, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 57 Germantown Ct, Suite 100, Cordova, TN 38018 Phone: 901-758-7888 Fax: 901-266-6445 | |
Charles R Arkin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 540 Trinity Creek Cv, Cordova, TN 38018 Phone: 901-309-5000 Fax: 901-309-5008 | |
Dr. John M Bills Jr., MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1660 Bonnie Ln Ste 105, Cordova, TN 38016 Phone: 901-888-1000 | |
Dr. Frank John Adcock Iii, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 8596 Rockcreek Pkwy, Cordova, TN 38016 Phone: 901-372-4350 Fax: 901-372-4350 |