Organization
ENDOCRINOLOGY AND DIABETES SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAM ALEXANDER (ADMINISTRATOR)
(901) 756-5565
Entity
Organization
Contact information
Practice address
7796 WOLF TRAIL CV STE 201, GERMANTOWN, TN 38138-1781
(901) 348-6487
(901) 791-0338
Mailing address
PO BOX 2044 DEPT 6000, MEMPHIS, TN 38101-2022
(901) 348-6487
(901) 791-0338
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4327373
BCBS
TN
01
—
DS8846
RAILROAD MEDICARE
TN
Enumeration date
05/18/2012
Last updated
12/03/2012
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