METHODIST LE BONHEUR COMMUNITY OUTREACH NPI 1174872139

NPI Information

METHODIST LE BONHEUR COMMUNITY OUTREACH is a pediatrics in Jackson, 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. METHODIST LE BONHEUR COMMUNITY OUTREACH NPI is 1174872139. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

77 STONEBRIDGE BLVD
JACKSON, TN
ZIP 38305-165
Phone: (901) 287-5961

The provider's authorized official is Pam Denise Burnett .
The authorized official title is Manager Of Operations and has the following contact phone number (731) 984-9963.

The enumeration date for this NPI number is 9/6/2012 and was last updated on 8/19/2019.

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:

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