Memphis Children'S Clinic,Pllc

LBN: Memphis Children'S Clinic,Pllc
Memphis Children'S Clinic,Pllc is an health care organization with primary practice located at 9860 Goodman Rd , Olive Branch MS 38654-1722. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Memphis Children'S Clinic,Pllc can be contacted via phone (662) 890-0158, or through Purifoy, Connie via phone (901) 396-0390.

Contact Information

Primary practice address
9860 Goodman Rd Olive Branch MS 38654-1722
Phone: (662) 890-0158
Fax: (662) 890-8615
Website:
Map and Directions
Authorized official contact:
Name: Purifoy, Connie
Phone: (901) 396-0390

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1649450909
LBN Legal business name Memphis Children'S Clinic,Pllc
DBA Doing business as
Authorized official Purifoy, Connie
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 5th, 2007
Last updated Nov 5th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1649450909 NPPES
Tennessee MEDICAID 3382354

Popular Providers