Presbury, Gerald Johnson

Presbury, Gerald Johnson is an individual health care provider with primary practice located at 50 N Dunlap St , Memphis TN 38103-2800. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Presbury, Gerald Johnson can be contacted via phone (901) 869-5708.

Contact Information

Primary practice address
50 N Dunlap St Memphis TN 38103-2800
Phone: (901) 869-5708
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X 13054 Tennessee
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD 13054 Tennessee

Profile Details

NPI number 1588664726
LBN Legal business name Presbury, Gerald Johnson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Mar 7th, 2023 - about 3 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 1588664726 NPPES
Tennessee MEDICAID 3187118

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