# PEDIATRIC UROLOGY ASSOCIATES OF THE MID-SOUTH, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326218868
- **Authorized official:** DR. GERALD R JERKINS M.D. (PEDIATRIC UROLOGIST)
- **Authorized official phone:** (901) 751-0500

## Contact information

- **Practice address:** 1920 KIRBY PKWY, SUITE 100, GERMANTOWN, TN 38138-3696
- **Practice address phone:** (901) 751-0500
- **Practice address fax:** (901) 751-0551
- **Mailing address:** 1920 KIRBY PKWY, SUITE 100, GERMANTOWN, TN 38138-3696
- **Mailing address phone:** (901) 751-0500
- **Mailing address fax:** (901) 751-0551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | MD0000008476 | TN | Yes |

## Other

- **Enumeration date:** 03/11/2008
- **Last updated:** 04/25/2008