Conrad Pearson Clinic

NPI 1174864946 - Clinic/Center - 261QM2500X

NPI Details
NPI 1174864946
Enumeration Date 03/04/2013
Last Updated 03/04/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name LINDA LINDA
Position CREDENTIALING SPECIALIST
Phone (901) 252-4311
Fax (901) 763-4305
Practice Location
1325 WOLF PARK DR STE 102
GERMANTOWN TN, 38138-1759, US
Phone (901) 252-4311
Fax (901) 763-4305
Business Location
1325 WOLF PARK DR STE 103
GERMANTOWN TN, 38138-1759, US
Phone (901) 252-3411
Fax (901) 763-4305
Toxanomy
Taxonomy Code 261QM2500X
License State
License Number
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According to our database, Conrad Pearson Clinic NPI is 1174864946, taxonomy code is 261QM2500X Conrad Pearson Clinic physically located at 1325 Wolf Park Dr Ste 102, Germantown TN, 38138-1759. NPI Number 1033115704 has the healthcare provider type.

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1174864946 NPI number is provided on an as is basis without warranty of any kind. 1174864946 is maintained by the National Plan & Provider Enumeration System. The contents of Conrad Pearson Clinic are for informational purposes only.