Organization
MEMPHIS CHILDREN'S CLINIC
Active
Other names
Bartlett Children's Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY G. GILLESPIE M.D (CMO)
(901) 396-0390
Entity
Organization
Contact information
Practice address
6385 STAGE ROAD, SUITE 2, BARTLETT, TN 38134
(901) 386-1683
(901) 385-8252
Mailing address
1129 HALE ROAD, MEMPHIS, TN 38116-6397
(901) 396-0390
(901) 507-7561
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD0000008001
TN
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3382354
—
TN
05
—
5440448
—
TN
Enumeration date
10/19/2006
Last updated
11/05/2014
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