Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Perry Clyde Rothrock III, MD

Individual provider Family Medicine Physician · NPI 1023093655

Dr. Perry Clyde Rothrock III, MD is a Family Practice in Cordova, Tennessee. Graduated from University of Arkansas College of Medicine in 1990, 36 years ago. Licensed in Arkansas and Tennessee.

Years since qualifying
36
Trained at
University of Arkansas College of Medicine
Licensed in
AR, TN
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8309 Cordova Rd
Cordova, TN 38016-2046
Phone: (901) 757-9984
Fax: (901) 757-0536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 37500 (TN)
Family Medicine Physician Taxonomy 207Q00000X · Licence C 7965 (AR)

Record details

NPI number1023093655
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 6, 2005
Last updated in NPPESApril 6, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated 1990 (36 years in practice)
Accepts Medicare assignment Not indicated

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