Organization
SYMED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA KING (DIRECTOR, CREDENTIALING ENROLLMENT)
(800) 370-3651
Entity
Organization
Contact information
Practice address
3150 LENOX PARK BLVD, SUITE 214, MEMPHIS, TN 38115-4299
(901) 273-2368
(901) 273-2351
Mailing address
55 HATCHETTS HILL RD, OLD LYME, CT 06371-1534
(800) 370-3651
(877) 515-7147
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014J3
BCBS OF NORTH CAROLINA
NC
05
—
6005925
—
NC
01
—
CK5464
RAILROAD MEDICARE
NC
Enumeration date
03/05/2007
Last updated
07/11/2017
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