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NPI 1306089206 · live from the CMS NPI Registry

Baptist Memorial Medical Group INC

Internal Medicine in Memphis, TN. National Provider Identifier 1306089206, active.

NPI record

NPI1306089206 Type 2 · organization
StatusActive
Primary specialtyInternal Medicine 207R00000X
Practice location8970 Winchester Rd, Memphis, TN 38125
Practice phone901-227-4068
Mailing address350 N Humphreys Blvd, Memphis, TN 38120
EnumeratedApril 8, 2009
Last updatedOctober 8, 2020
Authorized officialGregory Duckett, Sr Vp/Clo

Taxonomies and licenses

TaxonomyCodeLicense
Urology208800000X—
Thoracic Surgery (Cardiothoracic Vascular Surgery)208G00000X—
Hospitalist208M00000X—
Nurse Practitioner363L00000X—
Surgery208600000X—
Surgery, Surgical Oncology2086X0206X—
Obstetrics & Gynecology207V00000X—
Pediatrics208000000X—
Physical Medicine & Rehabilitation208100000X—
Psychiatry & Neurology, Psychiatry2084P0800X—
2085R0001X—
Family Medicine207Q00000X—
Internal Medicine, Hematology & Oncology207RH0003X—
Neurological Surgery207T00000X—
Internal Medicine primary207R00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.