Organization
THE AKESO GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHNATHAN ISOM MD (CEO)
(901) 854-7363
Entity
Organization
Contact information
Practice address
5744 NANJACK CIR, MEMPHIS, TN 38115-2061
(901) 854-7363
Mailing address
11890 METZ PL, EADS, TN 38028-6984
(901) 854-7363
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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