Collierville Medical Specialists in Collierville - Internal Medicine
Collierville Medical Specialists - NPI 1053416776
Collierville Medical Specialists is a Internal Medicine in Collierville, Tennessee. Collierville Medical Specialists practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Collierville Medical Specialists is 1053416776. The last update date is 2020-08-22.
Collierville Medical Specialists's current location address is 526 Halle Park Drive, Collierville, Tennessee. You can contact this provider via phone number 9018541877 and fax number 9018546181. The mailing address for Collierville Medical Specialists is 526 Halle Park Drive, Collierville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Collierville Medical Specialists |
|---|---|
| Address | 526 Halle Park Drive, Collierville, Tennessee |
| Phone Number | 9018541877 |
| Fax Number | 9018546181 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHAIRMAN O |
|---|---|
| Authorized Official Name | Jeffers Clarence Raymond |
| Credentials | MD |
| Telephone Number | 9018541877 |
NPI Number Detail
| NPI Number | 1053416776 |
|---|---|
| Provider Enumeration Date | 2006-09-14 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 526 Halle Park Drive |
|---|---|
| City | Collierville |
| State | Tennessee (TN) |
| Post Code | 380177085 |
| Phone Number | 9018541877 |
| Fax Number | 9018546181 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the unique identifier code issued to Collierville Medical Specialists by the Centers for Medicare & Medicaid Services?
The Collierville Medical Specialists has been assigned the NPI (National Provider Identifier) 1053416776. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Collierville Medical Specialists?
The Collierville Medical Specialists is situated at 526 Halle Park Drive, in the city of Collierville, state of TN, with the zip code 380177085.
What is the Collierville Medical Specialists's area of specialization and corresponding taxonomy classification?
The Collierville Medical Specialists's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.
On what date did the Collierville Medical Specialists receive its 1053416776 assignment from the Centers for Medicare & Medicaid Services?
The Collierville Medical Specialists was assigned its 1053416776 by the Centers for Medicare & Medicaid Services on 2006-09-14.
As of what date were the details related to Collierville Medical Specialists most recently updated or revised?
The information pertaining to Collierville Medical Specialists, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.