| Doctor Name: | DR. TAMMY NEWMAN EBERLE |
| NPI Number: | 1619214137 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D., PHARM.D. |
| License Number: | MD0000040698 |
| Business Practice Address: | 1040 Jefferson Ave Memphis, TN - 381042127 |
| Business Phone Number: | 9015238990 |
| Business Fax Number: | |
| Mailing Address: | Po Box 17806, MEMPHIS |
| State: | TN |
| Postal Code: | 381870806 |
| Phone Number: | 9018700708 |
| Fax Number: | |
| NPI Enumeration Date: | 01/04/2013 |
| NPI Last Update Date: | 01/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD0000040698 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |