Pediatric and Adolescent Medicine

NPI #1235350786 in Memphis, Tennessee

Provider Information

NPI Number: 1235350786
Entity Type: Organization
Organization Name: Pediatric and Adolescent Medicine
Primary Specialty: Pediatrics
Enumeration Date: May 1, 2007
Last Updated: Apr 2, 2008

Practice Location

Address: 1102 BROOKFIELD ROAD
Address 2: 2ND FLOOR
City: Memphis
State: Tennessee
ZIP Code: 38119
Phone: (901) 761-1880

Authorized Official

Name: TAMARA P FOLZ, MD
Title: PRESIDENT
Phone: (901) 761-1880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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