Provider Demographics
NPI:1770890469
Name:MARY MARGARET HURLEY, M.D., P.C.
Entity type:Organization
Organization Name:MARY MARGARET HURLEY, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:M
Authorized Official - Last Name:HURLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:901-757-5333
Mailing Address - Street 1:7514 CORPORATE CENTER DR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-3877
Mailing Address - Country:US
Mailing Address - Phone:901-757-5333
Mailing Address - Fax:901-757-9233
Practice Address - Street 1:7514 CORPORATE CENTER DR
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-3877
Practice Address - Country:US
Practice Address - Phone:901-757-5333
Practice Address - Fax:901-757-9233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-02
Last Update Date:2010-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty