| NPI | 1093024101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NYOKA BOWMAN Supervisor 901-287-5594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology | |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology | |
| 2080P0202X Pediatrics, Pediatric Cardiology | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine | |
| 2080P0205X Pediatrics, Pediatric Endocrinology | |
| 2080P0206X Pediatrics, Pediatric Gastroenterology | |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases | |
| 2080P0210X Pediatrics, Pediatric Nephrology | |
| 2080P0214X Pediatrics, Pediatric Pulmonology | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | |
| 2085P0229X Radiology, Pediatric Radiology | |
| 207L00000X Anesthesiology | |
| 207NP0225X Dermatology, Pediatric Dermatology | |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2023-07-17 |