Provider Demographics
NPI:1790735124
Name:FOLZ, TAMARA P (MD)
Entity Type:Individual
Prefix:
First Name:TAMARA
Middle Name:P
Last Name:FOLZ
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1102 BROOKFIELD ROAD
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119
Mailing Address - Country:US
Mailing Address - Phone:901-761-1880
Mailing Address - Fax:901-683-2048
Practice Address - Street 1:1102 BROOKFIELD ROAD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119
Practice Address - Country:US
Practice Address - Phone:901-761-1880
Practice Address - Fax:901-683-2048
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2008-03-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN321122080A0000X
TN0321122080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine