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MEMPHIS NEUROLOGY PLLC NPI 1700943172


NPI Information

NPI: 1700943172
Provider Name: MEMPHIS NEUROLOGY PLLC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
7645 WOLF RIVER CIR
GERMANTOWN, TN
ZIP 38138
Phone: (901) 405-0275
Get Directions

MEMPHIS NEUROLOGY PLLC is a neurology psychiatry neurology in Germantown, TN. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. MEMPHIS NEUROLOGY PLLC NPI is 1700943172. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7645 WOLF RIVER CIR
GERMANTOWN, TN
ZIP 38138-751
Phone: (901) 405-0275
Fax: (901) 405-0288

The provider's authorized official is Loretta Brown .
The authorized official title is Office Administrator and has the following contact phone number (901) 405-0275.

The enumeration date for this NPI number is 1/3/2007 and was last updated on 1/28/2014.


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
12080P0006XPediatricsDevelopmental - Behavioral PediatricsNo
22084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyNo
32084N0600XPsychiatry & NeurologyClinical NeurophysiologyNo
42084P0005XPsychiatry & NeurologyNeurodevelopmental DisabilitiesNo
52084N0400XPsychiatry & NeurologyNeurologyYes

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
1=========OTHERTENNESSEETAX ID

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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