Collierville Pediatrics, LLC
NPI #1326229345 in Collierville, Tennessee
Provider Information
- NPI Number
- 1326229345
- Entity Type
- Organization
- Organization Name
- Collierville Pediatrics, LLC
- Primary Specialty
- Pediatrics
- Enumeration Date
- Nov 19, 2007
- Last Updated
- Nov 19, 2007
Practice Location
- Address
- 2028 W POPLAR AVE
- Address 2
- SUITE 112
- City
- Collierville
- State
- Tennessee
- ZIP Code
- 38017-0618
- Phone
- (901) 854-5455
Authorized Official
- Name
- JAYA VENKATARAMAN, MD
- Title
- MD/PRESIDENT
- Phone
- (901) 854-5455
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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