# ISAAC JOHN M.D., P.C

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

## Provider details

- **NPI number:** 1780085787
- **Authorized official:** KALEY MICHELLE GONZALEZ-RAMIREZ (OFFICE MANAGER)
- **Authorized official phone:** (901) 685-9640

## Contact information

- **Practice address:** 6005 PARK AVE, MEMPHIS, TN 38119-5202
- **Practice address phone:** (901) 685-9640
- **Mailing address:** 6005 PARK AVE, MEMPHIS, TN 38119-5202
- **Mailing address phone:** (901) 685-9640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | MD0000018442 | TN | — |
| 282NC2000X | Children's Hospital | MD0000018442 | TN | Yes |

## Other

- **Enumeration date:** 09/09/2014
- **Last updated:** 09/16/2014