Memphis & Shelby County Pediatric Group in Memphis - Adolescent Medicine
Memphis & Shelby County Pediatric Group - NPI 1487797536
Memphis & Shelby County Pediatric Group is a Adolescent Medicine in Memphis, Tennessee. Memphis & Shelby County Pediatric Group practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Memphis & Shelby County Pediatric Group is 1487797536. The last update date is 2020-08-22.
Memphis & Shelby County Pediatric Group's current location address is 6479 Winchester Rd, Memphis, Tennessee. You can contact this provider via phone number 9018662133 and fax number 9018662136. The mailing address for Memphis & Shelby County Pediatric Group is 6479 Winchester Rd, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Memphis & Shelby County Pediatric Group |
|---|---|
| Address | 6479 Winchester Rd, Memphis, Tennessee |
| Phone Number | 9018662133 |
| Fax Number | 9018662136 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BILLING SU |
|---|---|
| Authorized Official Name | Carter Katherine |
| Telephone Number | 9013968366 |
NPI Number Detail
| NPI Number | 1487797536 |
|---|---|
| Provider Enumeration Date | 2007-02-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 6479 Winchester Rd |
|---|---|
| City | Memphis |
| State | Tennessee (TN) |
| Post Code | 381154240 |
| Phone Number | 9018662133 |
| Fax Number | 9018662136 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 117847 | TN | UNISON | |
| 5598466 | TN | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Memphis & Shelby County Pediatric Group by the Centers for Medicare & Medicaid Services?
The Memphis & Shelby County Pediatric Group has been issued the NPI (National Provider Identifier) 1487797536, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Memphis & Shelby County Pediatric Group is physically located?
The Memphis & Shelby County Pediatric Group is situated at the following address: 6479 Winchester Rd, Memphis, TN 381154240.
What is Memphis & Shelby County Pediatric Group's specialized field of practice, and what is the corresponding taxonomy classification code?
The Memphis & Shelby County Pediatric Group's area of specialization is Adolescent Medicine, and the corresponding taxonomy code that categorizes this field of practice is 2080A0000X.
On what date did the Memphis & Shelby County Pediatric Group receive the assignment of its 1487797536 from the Centers for Medicare & Medicaid Services?
The Memphis & Shelby County Pediatric Group was issued its 1487797536 by the Centers for Medicare & Medicaid Services on 2007-02-15.
As of what date were the Memphis & Shelby County Pediatric Group's details last updated?
The information pertaining to the Memphis & Shelby County Pediatric Group, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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