Organization
NEWSTART FAMILY AND OBSTETRICAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL F PEAN M.D. (OWNER)
(901) 881-6686
Entity
Organization
Contact information
Practice address
3530 HICKORY HILL RD, MEMPHIS, TN 38115-3840
(901) 881-6686
Mailing address
3530 HICKORY HILL RD, MEMPHIS, TN 38115-3840
(901) 881-6686
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
30641
TN
207VX0000X
Obstetrics Physician
Primary
30641
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3375525
—
TN
Enumeration date
09/17/2012
Last updated
09/17/2012
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