Organization
CARDIOLOGY SPECIALISTS OF MEMPHIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH PARKER-PRATT (ADMINISTRATOR)
(901) 747-3330
Entity
Organization
Contact information
Practice address
80 HUMPHREYS CENTER, SUITE 202, MEMPHIS, TN 38120
(901) 747-3330
(901) 747-3245
Mailing address
PO BOX 1000, DEPT 396, MEMPHIS, TN 38148
(901) 747-3330
(901) 747-3245
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141165
BLUE CROSS
—
Enumeration date
05/26/2006
Last updated
03/25/2010
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