Organization
ISAAC JOHN M.D., P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALEY MICHELLE GONZALEZ-RAMIREZ (OFFICE MANAGER)
(901) 685-9640
Entity
Organization
Contact information
Practice address
6005 PARK AVE, MEMPHIS, TN 38119-5202
(901) 685-9640
Mailing address
6005 PARK AVE, MEMPHIS, TN 38119-5202
(901) 685-9640
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
MD0000018442
TN
282NC2000X
Children's Hospital
Primary
MD0000018442
TN
Other
Enumeration date
09/09/2014
Last updated
09/16/2014
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