Organization
MID-SOUTH PULMONARY SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY WEIS AVERY JD (ADMINISTRATOR)
(901) 333-8443
Entity
Organization
Contact information
Practice address
5050 POPLAR AVE, SUITE 800, MEMPHIS, TN 38157-0101
(901) 276-2662
(901) 274-1871
Mailing address
5050 POPLAR AVE, SUITE 800, MEMPHIS, TN 38157-0101
(901) 276-2662
(901) 274-1871
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
2080S0012X
Pediatric Sleep Medicine Physician
—
—
Other
Enumeration date
01/16/2006
Last updated
11/12/2019
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