Provider Demographics
NPI:1952124349
Name:RUMPH, ANTHONY LEE
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:LEE
Last Name:RUMPH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1031 RICHLAND DR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38116-8215
Mailing Address - Country:US
Mailing Address - Phone:901-282-4483
Mailing Address - Fax:
Practice Address - Street 1:1031 RICHLAND DR
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38116-8215
Practice Address - Country:US
Practice Address - Phone:901-282-4483
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN009395253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care