| Doctor Name: | MR. DALE WAYNE NORRIS |
| NPI Number: | 1174558456 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MD16620 |
| Business Practice Address: | 5475 Poplar Ave Ste.106 Memphis, TN - 381193730 |
| Business Phone Number: | 9012548040 |
| Business Fax Number: | 9014356522 |
| Mailing Address: | 959 Snowden Farm Rd, COLLIERVILLE |
| State: | TN |
| Postal Code: | 380178988 |
| Phone Number: | 9012291157 |
| Fax Number: | 9012210125 |
| NPI Enumeration Date: | 07/12/2006 |
| NPI Last Update Date: | 01/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD16620 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |