Individual
GEORGETTE R SEVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1407 UNION AVENUE, SUITE 200, MEMPHIS, TN 38104-3600
(901) 866-8360
(901) 302-2360
Mailing address
1407 UNION AVENUE, SUITE 200, MEMPHIS, TN 38104-3600
(901) 866-8360
(901) 302-2360
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20345
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103I378183
MEDICARE
TN
05
—
5440975
—
TN
Enumeration date
09/02/2006
Last updated
06/19/2012
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