Organization
MEMPHIS PEDIATRIC HEART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES K STAMPS M.D. (OWNER)
(901) 259-2440
Entity
Organization
Contact information
Practice address
80 HUMPHREYS CENTER, SUITE 230, MEMPHIS, TN 38120
(901) 259-2440
(901) 259-2444
Mailing address
80 HUMPHREYS CENTER, SUITE 230, MEMPHIS, TN 38120
(901) 259-2440
(901) 259-2444
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
38471
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103G374694
MEDICARE GROUP PTAN NUMBER
TN
05
—
1529767
—
TN
Enumeration date
07/17/2012
Last updated
01/09/2019
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