Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0120X | Pediatric Surgery | 50102 | TN |
NPI | 1548477722 |
---|---|
Provider Name | Dr. Adrianne Lee Myers-Webb |
First Address | Atlanta, GA 30384-9446 |
Second Address | Memphis, TN 38120-2367 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2007 |
Last Update Date | 18/07/2016 |