Germantown Private Psychiatry Pllc | |
7505 Capital Dr The Corporate Center Germantown TN 38138-3848 | |
(901) 730-0575 | |
(901) 730-0389 |
Full Name | Germantown Private Psychiatry Pllc |
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Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 7505 Capital Dr, Germantown, Tennessee |
Authorized Official Name and Position | Arif Mirza (OWNER) |
Authorized Official Contact | 9017300575 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Germantown Private Psychiatry Pllc 7505 Capital Dr The Corporate Center Germantown TN 38138-3848 Ph: (901) 730-0575 | Germantown Private Psychiatry Pllc 7505 Capital Dr The Corporate Center Germantown TN 38138-3848 Ph: (901) 730-0575 |
NPI Number | 1467799767 |
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Provider Enumeration Date | 01/08/2013 |
Last Update Date | 01/08/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467799767 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | MD0000045393 (Tennessee) | Primary |
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