Organization
AAA PSYCHIATRIC SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OTIS ANDERSON III M.D. (MEDICAL DIRECTOR)
(901) 240-8937
Entity
Organization
Contact information
Practice address
5147 WEMBERLEY DR, MEMPHIS, TN 38125-3469
(901) 240-8937
Mailing address
5147 WEMBERLEY DR, MEMPHIS, TN 38125-3469
(901) 240-8937
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
21754
MS
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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