Organization
NORTH STAR INSTITUTE FOR AUTISM AND RELATED CONDITIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANJALA GIPSON MD (FOUNDER/CEO)
(901) 468-3366
Entity
Organization
Contact information
Practice address
1138 N GERMANTOWN PKWY STE 101-120, CORDOVA, TN 38016-5872
(901) 468-3366
Mailing address
1138 N GERMANTOWN PKWY STE 101-120, CORDOVA, TN 38016-5872
(901) 468-3366
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
—
—
Other
Enumeration date
04/25/2020
Last updated
04/25/2020
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