Organization
MEMPHIS & SHELBY COUNTY PED. GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHERINE CARTER (BILLING SUPERVISOR)
(901) 396-8366
Entity
Organization
Contact information
Practice address
1444 E SHELBY DR, SUITE 317, MEMPHIS, TN 38116-7260
(901) 396-8281
Mailing address
1444 E SHELBY DR, SUITE 317, MEMPHIS, TN 38116-7260
(901) 396-8281
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
10/17/2006
Last updated
03/18/2014
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