Organization
MEMPHIS INTERNAL MEDICINE AND PEDIATRICS
Active
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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