Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Modern Gynecology and Reproductive Health PC

Organization Gynecology Physician · NPI 1962056036

Modern Gynecology and Reproductive Health PC provides Gynecology Physician services in Memphis, Tennessee. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1407 Union Ave Ste 1401
Memphis, TN 38104-3667
Phone: (901) 701-1777
Fax: (901) 701-1778
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X

Record details

NPI number1962056036
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Lacy — Physician Owner · (901) 289-0915
NPI enumeratedJuly 27, 2019
Last updated in NPPESNovember 1, 2019
Mailing address1407 Union Ave Ste 1401, Memphis, TN 38104-3667

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