ILIA BETHEA-GOLDEN

MEMPHIS, TN
NPI1427691823
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  25982)
Enumeration Date2019-10-18
Last Update Date2019-10-18
Business Address
ILIA BETHEA-GOLDEN NP
877 JEFFERSON AVE
MEMPHIS, TN 38103-2807
Phone number: 901-545-8699
Mailing Address
ILIA BETHEA-GOLDEN NP
877 JEFFERSON AVENUE ATTN: PROVIDER ENROLLMENT
MEMPHIS, TN 38103
Phone number:
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