Mancell, Jimmie

Mancell, Jimmie is an individual health care provider with primary practice located at 1265 Union Ave , Memphis TN 38104-3415. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mancell, Jimmie can be contacted via phone (901) 516-2362.

Contact Information

Primary practice address
1265 Union Ave Memphis TN 38104-3415
Phone: (901) 516-2362
Fax: (901) 844-1439
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 27637 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 27637 Tennessee

Profile Details

NPI number 1972584571
LBN Legal business name Mancell, Jimmie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Oct 18th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972584571 NPPES
Tennessee MEDICAID 03097716
Tennessee Other 4104674

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