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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARIAM ELIZABETH MANSOUR, MD

Active Sole Proprietor

MARIAM ELIZABETH MANSOUR, MD is a Sports Medicine healthcare provider located in GERMANTOWN, Tennessee. NPI 1902434095 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine · GERMANTOWN, TN

Registration Details

NPI Number
1902434095
Provider Type
Individual
Gender
Female
NPI Issued
Apr 1, 2020 (6.4015816099973 yrs)
Last Updated
Apr 1, 2025
License
71949 (TN)
Sole Proprietor
Yes

Practice Information

Address
1400 S GERMANTOWN RD
GERMANTOWN, TN, 381382205
Browse TN providers · Browse ZIP 38138
Phone
9017593100
Primary Specialty
Sports Medicine
207QS0010X
Additional Specialty
Sports Medicine

Other Sports Medicine Providers in GERMANTOWN, TN

Name Credential NPI
JOHN CARL HYDEN JR. MD 1548303381
DR. WESLEY OWEN MD 1043743594
MATTHEW GILBERT MD 1538695374
DR. JOSHUA RAY BRANDON MD 1356902951
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.