Organization Name: | METRO MEMPHIS MEDICAL SPECIALIST, INC. |
NPI Number: | 1316961931 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KENNETH W HARRIS (OWNER) |
Mailing Address: | 3960 Knight Arnold Rd #420 Memphis |
State: | TN US |
Postal Code: | 381183035 |
Phone Number: | 9013663883 |
Fax Number: | 9013663887 |
NPI Enumeration Date: | 07/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 170100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Medical Genetics, Ph.D. Medical Genetics |
Taxonomy Specialization: | |
Taxonomy Definition: | A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |