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Contact Information

AMELIA G SELF, MD
264 COATSLAND DR.
JACKSON, TN38301
 Phone: 731-423-1500
 Fax: 731-423-0342
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for AMELIA G SELF · (Female)

NPI Number 1639267545
Status Active
Credentials MD
Entity Individual
Enumeration date 10/10/2006
Last updated 10/18/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • TN License # MD0000026738
  • TN Medicaid 3092789
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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