NPI 1194593277 · live from the CMS NPI Registry
Adam Libby, Dpm PLLC
Podiatrist in Memphis, TN. National Provider Identifier 1194593277, active.
NPI record
| NPI | 1194593277 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 5384 Poplar Ave Ste 410, Memphis, TN 38119 |
| Practice phone | 901-428-6823 |
| Mailing address | Po Box 791, Auburndale, FL 33823 |
| Enumerated | December 18, 2023 |
| Last updated | December 18, 2023 |
| Authorized official | Deona Deicke, Credentialing Specialist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.