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CHARLOTTE DEFLUMERE MDPC NPI 1912242405


NPI Information

NPI: 1912242405
Provider Name: CHARLOTTE DEFLUMERE, MD,PC

Other Name: CHARLOTTE A DEFLUMERE MD

Classification: Internal Medicine - 207RA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
1068 CRESTHAVEN RD
SUITE 110
MEMPHIS, TN
ZIP 38119
Phone: (901) 405-6470
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CHARLOTTE DEFLUMERE, MD,PC is an addiction medicine internal medicine in Memphis, TN. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. CHARLOTTE DEFLUMERE, MD,PC NPI is 1912242405. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Charlotte A Deflumere Md.

The provider's business location address is:

1068 CRESTHAVEN RD
SUITE 110
MEMPHIS, TN
ZIP 38119-800
Phone: (901) 405-6470
Fax: (901) 747-2338

The provider's authorized official is Charlotte A Deflumere .
The authorized official title is President/owner and has the following contact phone number (901) 405-6470.

The enumeration date for this NPI number is 12/10/2012 and was last updated on 12/10/2012.


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
1208VP0000XPain MedicinePain Medicine20004TENNESSEENo
2207RA0401XInternal MedicineAddiction Medicine20004TENNESSEEYes

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
13826001MEDICARE PINTENNESSEE
2F19848MEDICARE UPINTENNESSEE

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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