Individual
DAVID NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
848 ADAMS AVE, MEMPHIS, TN 38103-2816
(901) 287-7337
(901) 287-4646
Mailing address
49 N DUNLAP ST RM 345, MEMPHIS, TN 38103-2802
(901) 287-7337
(901) 287-4646
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
68409
TN
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
68409
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177125501
—
TX
Enumeration date
10/17/2006
Last updated
08/17/2023
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