Organization
MEMPHIS PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL W MITCHELL (BILLING MANAGER)
(901) 432-1591
Entity
Organization
Contact information
Practice address
1255 SOUTH GERMANTOWN ROAD, GERMANTOWN, TN 38138
(901) 432-1591
(901) 432-1596
Mailing address
PO BOX 1798, DEPT 07-003, MEMPHIS, TN 38119
(901) 432-1591
(901) 432-1596
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD17825
TN
208000000X
Pediatrics Physician
MD18312
TN
208000000X
Pediatrics Physician
Primary
MD28107
TN
Other
Enumeration date
05/11/2007
Last updated
08/22/2020
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