Provider Demographics
NPI:1447339312
Name:HURLEY, MARY MARGARET DULANEY (MD)
Entity type:Individual
Prefix:MRS
First Name:MARY MARGARET
Middle Name:DULANEY
Last Name:HURLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:
Practice Address - Street 1:7514 CORPORATE CENTER DR STE 100
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
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN029244207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3815583Medicaid
TN3815583Medicaid
TN3815583Medicare ID - Type Unspecified