Laurelwood Pediatrics LLC
Pediatrics in Memphis, TN. Organization (NPI-2).
NPI number1750416319
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1750416319
- Entity type
- Organization (NPI-2)
- Legal business name
- Laurelwood Pediatrics LLC
- Organization subpart
- No
- Enumeration date
- Feb 23, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
Practice location
5050 Sanderlin AveMemphis, TN 38117-4332
Phone 901-507-6907 · Fax 901-761-1979
Mailing address
5050 Sanderlin AveMemphis, TN 38117-4332
Phone 901-507-6907 · Fax 901-761-1979
Authorized official
Violet V Williamson
Administrator
9015076907
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