Organization
PREMIER PEDIATRICS OF MEMPHIS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE BLACK (PRACTICE ADMINISTRATOR)
(901) 531-8555
Entity
Organization
Contact information
Practice address
1250 N GERMANTOWN PKWY STE 115, CORDOVA, TN 38016-7904
(901) 531-8555
Mailing address
PO BOX 248, CORDOVA, TN 38088-0248
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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