Individual
RICHARD MCQUISTON PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7512 SECOND STREET, GERMANTOWN, TN 38138
(901) 312-7899
(901) 312-7893
Mailing address
7512 SECOND STREET, GERMANTOWN, TN 38138
(901) 312-7899
(901) 312-7893
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
07601
TN
208800000X
Urology Physician
11876
MS
208800000X
Urology Physician
Primary
7601
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0176435
BLUE CROSS
TN
01
—
12940428
PHCS
—
01
—
19925000040
QUAL CHOICE
—
01
—
209810
HEALTH LINK
—
01
—
211159
SOUTHERN HEALTH SERVICES
—
01
—
2575594
CIGNA
—
01
—
3000133
TLC (TENNCARE)
—
05
—
3162592
—
TN
01
—
4025952
AETNA
—
01
—
86727
BLUE CROSS AR
—
01
—
887420
FIRST HEALTH
—
Enumeration date
05/02/2006
Last updated
05/29/2015
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