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MEMPHIS & SHELBY COUNTY PED. GROUP NPI 1710067020


NPI Information

NPI: 1710067020
Provider Name: MEMPHIS & SHELBY COUNTY PED. GROUP
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 44D0967471

Address:
1444 E SHELBY DR
SUITE 317
MEMPHIS, TN
ZIP 38116
Phone: (901) 396-8281
Get Directions

MEMPHIS & SHELBY COUNTY PED. GROUP is a pediatrics in Memphis, TN. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MEMPHIS & SHELBY COUNTY PED. GROUP NPI is 1710067020. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1444 E SHELBY DR
SUITE 317
MEMPHIS, TN
ZIP 38116-260
Phone: (901) 396-8281

The provider's authorized official is Katherine Carter .
The authorized official title is Billing Supervisor and has the following contact phone number (901) 396-8366.

The CLIA number assigned to this NPI record is 44D0967471 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 3/18/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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