Organization
MILLINGTON PEDIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABUBAKER M NAIDA M.D. (OWNER)
(901) 873-0700
Entity
Organization
Contact information
Practice address
8222 US HIGHWAY 51 N, MILLINGTON, TN 38053-1708
(901) 873-0700
(901) 873-0711
Mailing address
8222 US HIGHWAY 51 N, MILLINGTON, TN 38053-1708
(901) 873-0700
(901) 873-0711
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
40393
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
466407
BCBS
TN
Enumeration date
02/19/2009
Last updated
02/19/2009
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