NPI 1881640118 · live from the CMS NPI Registry
Baptist Minor Medical Centers INC
Internal Medicine in Memphis, TN. National Provider Identifier 1881640118, active.
NPI record
| NPI | 1881640118 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 3295 Poplar Ave Ste 105, Memphis, TN 38111 |
| Practice phone | 901-327-8188 |
| Mailing address | 350 N Humphreys Blvd, Memphis, TN 38120 |
| Enumerated | May 26, 2006 |
| Last updated | September 30, 2020 |
| Authorized official | Gregory Duckett, Sr Vp/ Clo |
| Other names | Baptist Minor Medical Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | — |
| Nurse Practitioner, Family | 363LF0000X | — |
| Family Medicine | 207Q00000X | — |
| Internal Medicine primary | 207R00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.