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Contact Information

MID-SOUTH MATERNAL FETAL MEDICINE PC
6266 POPLAR AVE
MEMPHIS, TN38119-4713
 Phone: 901-682-2595
 Fax: 901-682-2549
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for MID SOUTH MATERNAL FETAL MEDICINE PC · (Female)

NPI # 1184662579
Status Active
Credentials
Entity Individual
Enumeration date 06/04/2006
Last updated 03/11/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers
  • AR Medicaid 155822002
  • MS Medicaid 07470206
  • TN Medicaid 3720439
  • AR Other 8P412 BCBS AR
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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