Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Modern Gynecology and Reproductive Health PC

Organization Gynecology Physician · NPI 1962056036

Modern Gynecology and Reproductive Health PC is a Gynecology Physician 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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