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Contact Information

AMISUB (SFH) INC.
5929 PARK AVE
MEMPHIS, TN38119-5150
 Phone: 901-765-2057
 Fax: 901-765-2077
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Clinical Pathology/Laboratory Medicine

207ZP0105X 22 Physician/Pathology
 

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for AMISUB SFH INC · (Female)

NPI Number 1992741482
Status Active
Credentials
Entity Individual
Enumeration date 06/21/2006
Last updated 03/26/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • TN Medicaid 3283054
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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