Individual
DR. ELISABETH E ADDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
262 DANNY THOMAS PLACE., MS 0515, ST. JUDE CHILDREN'S RESEARCH HOSPITAL, MEMPHIS, TN 38105
(901) 595-3006
(901) 595-3842
Mailing address
262 DANNY THOMAS PLACE., MS 0515, ST. JUDE CHILDREN'S RESEARCH HOSPITAL, MEMPHIS, TN 38105-3678
(901) 595-3006
(901) 595-3842
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
31812
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121227
—
MS
05
—
0527788
—
IA
05
—
100179830A
—
OK
05
—
104788392
—
MI
05
—
1146360 00
—
WY
05
—
138461001
—
AR
05
—
1561843
—
LA
05
—
200253180A
—
IN
05
—
200379130A
—
KS
05
—
205026305
—
MO
05
—
3897997
—
TN
05
—
422400000
—
ME
05
—
64008287
—
KY
Enumeration date
05/23/2005
Last updated
07/26/2018
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