| Memphis Internal Medicine And Pediatrics | |
|
1325 Eastmoreland Ave #585 Memphis TN 38104-3519 | |
| (901) 276-0249 | |
| (901) 276-0996 |
| Full Name | Memphis Internal Medicine And Pediatrics |
|---|---|
| Speciality | Internal Medicine |
| Location | 1325 Eastmoreland Ave, Memphis, Tennessee |
| Authorized Official Name and Position | Allison Stiles (PHYSICIAN OWNER) |
| Authorized Official Contact | 9012760249 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Memphis Internal Medicine And Pediatrics Po Box 40947 Memphis TN 38174-0947 Ph: (901) 255-5220 | Memphis Internal Medicine And Pediatrics 1325 Eastmoreland Ave #585 Memphis TN 38104-3519 Ph: (901) 276-0249 |
| NPI Number | 1184636771 |
|---|---|
| Provider Enumeration Date | 08/12/2006 |
| Last Update Date | 04/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184636771 | NPI | - | NPPES |
| 3731080 | Medicaid | TN | |
| DD9385 | Other | RAILROAD MEDICARE | |
| 01271360 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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