| Jerome S. Siegel, M.d. P.c. | |
|
6025 Walnut Grove Rd Suite 607 Memphis TN 38120-2131 | |
| (901) 683-2161 | |
| (901) 681-0768 |
| Full Name | Jerome S. Siegel, M.d. P.c. |
|---|---|
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 6025 Walnut Grove Rd, Memphis, Tennessee |
| Authorized Official Name and Position | Jerome S Siegel (PRESIDENT) |
| Authorized Official Contact | 9016832161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerome S. Siegel, M.d. P.c. 6025 Walnut Grove Rd Suite 607 Memphis TN 38120-2131 Ph: (901) 683-2161 | Jerome S. Siegel, M.d. P.c. 6025 Walnut Grove Rd Suite 607 Memphis TN 38120-2131 Ph: (901) 683-2161 |
| NPI Number | 1386790491 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386790491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RA0000X | Internal Medicine - Adolescent Medicine | MD26874 (Tennessee) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | MD4189 (Tennessee) | Primary |
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