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Organization

MEMPHIS INTERNAL MEDICINE AND PEDIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALLISON STILES M.D. (PHYSICIAN OWNER)
(901) 276-0249
Entity
Organization

Contact information

Practice address
1325 EASTMORELAND AVE, #585, MEMPHIS, TN 38104-3519
(901) 276-0249
(901) 276-0996
Mailing address
PO BOX 40947, MEMPHIS, TN 38174-0947
(901) 255-5220
(901) 255-5223

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
208000000X
Pediatrics Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01271360
MS
05
3731080
TN
01
DD9385
RAILROAD MEDICARE
Enumeration date
08/12/2006
Last updated
04/04/2008
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