Organization
SOUTHWIND MEDICAL SPECIALISTS, P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BARRETT (PRACTICE ADMINISTRATOR)
(901) 367-9001
Entity
Organization
Contact information
Practice address
3725 CHAMPION HILLS DR, SUITE 2000, MEMPHIS, TN 38125-2597
(901) 367-9001
(901) 565-8787
Mailing address
P. O. BOX 1000 DEPT 362, MEMPHIS, TN 38148-0001
(901) 373-9704
(901) 255-5223
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149748002
—
AR
01
—
8P085
BCBS
AR
01
—
CH3787
RAIL ROAD MEDICARE
—
Enumeration date
06/04/2006
Last updated
11/30/2011
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