# THE CAMELLIA FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clinica Camellia
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609169713
- **Authorized official:** MRS. CAMELLIA RODNEY RN (PRESIDENT)
- **Authorized official phone:** (901) 753-0423

## Contact information

- **Practice address:** 3030 COVINGTON PIKE, SUITE 200, MEMPHIS, TN 38128-5048
- **Practice address phone:** (901) 432-5727
- **Practice address fax:** (901) 384-6309
- **Mailing address:** 3030 COVINGTON PIKE, SUITE 200, MEMPHIS, TN 38128-5048
- **Mailing address phone:** (901) 432-5727
- **Mailing address fax:** (901) 384-6309

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 13931 | TN | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | 40403 | TN | — |
| 208000000X | Pediatrics Physician | 40403 | TN | — |

## Other

- **Enumeration date:** 05/23/2011
- **Last updated:** 06/01/2011