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PERRY C. ROTHROCK III M.D. PLLC NPI 1619138377


NPI Information

NPI: 1619138377
Provider Name: PERRY C. ROTHROCK III, M.D. PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
8309 CORDOVA RD
CORDOVA, TN
ZIP 38016
Phone: (901) 757-9984
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PERRY C. ROTHROCK III, M.D. PLLC is a family medicine in Cordova, TN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PERRY C. ROTHROCK III, M.D. PLLC NPI is 1619138377. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8309 CORDOVA RD
CORDOVA, TN
ZIP 38016-046
Phone: (901) 757-9984
Fax: (901) 757-0536

The provider's authorized official is Perry Clyde Rothrock .
The authorized official title is Owner and has the following contact phone number (901) 757-9984.

The enumeration date for this NPI number is 6/24/2008 and was last updated on 5/7/2015.


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
1207Q00000XFamily Medicine37500TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G02590MEDICARE UPINTENNESSEE
23729650MEDICARE PINTENNESSEE

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: 11/14/2023

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