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Contact Information

ELISABETH E ADDERSON, MD
262 DANNY THOMAS PLACE., MS 0515
ST. JUDE CHILDREN'S RESEARCH HOSPITAL
MEMPHIS, TN38105
 Phone: 901-595-3006
 Fax: 901-595-3842
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Infectious Diseases

2080P0208X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ELISABETH E ADDERSON · (Female)

NPI Number 1023011236
Status Active
Credentials MD
Entity Individual
Enumeration date 05/23/2005
Last updated 07/26/2018 - More than a year ago
Sole proprietor 1 No
Identifiers
  • TN License # 31812
  • AR Medicaid 138461001
  • IA Medicaid 0527788
  • IN Medicaid 200253180A
  • KS Medicaid 200379130A
  • KY Medicaid 64008287
  • LA Medicaid 1561843
  • ME Medicaid 422400000
  • MI Medicaid 104788392
  • MO Medicaid 205026305
  • MS Medicaid 00121227
  • OK Medicaid 100179830A
  • TN Medicaid 3897997
  • WY Medicaid 1146360 00
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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