Organization
PEDIATRIC EMERGENCY SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM R HANNA JR. MD (PRESIDENT)
(901) 287-6112
Entity
Organization
Contact information
Practice address
848 ADAMS AVE, MEMPHIS, TN 38103-2816
(901) 287-6112
Mailing address
5885 AIRLINE RD, #1011, ARLINGTON, TN 38002-5127
(901) 317-7360
(901) 317-7585
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
N/A
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3379568
—
TN
Enumeration date
07/26/2005
Last updated
01/03/2015
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