National Provider Identifier Database

MEMPHIS SHELBY COUNTY PEDIATRIC GROUP
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


Contact Information

MEMPHIS & SHELBY COUNTY PEDIATRIC GROUP
6479 WINCHESTER RD
SUITE 118
MEMPHIS, TN38115-4240
Phone: 901-866-2133
Fax: 901-866-2136
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for MEMPHIS & SHELBY COUNTY PEDIATRIC GROUP

NPI Number 1487797536
Legal business name
LBN
MEMPHIS & SHELBY COUNTY PEDIATRIC GROUP
Authorized official KATHERINE CARTER - (BILLING SUPERVISOR)
Entity Organization
Organization subpart No
Enumeration date 02/15/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • TN Other: 5598466 AETNA
  • TN Other: 117847 UNISON

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.

Reviews for MEMPHIS & SHELBY COUNTY PEDIATRIC GROUP

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