Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0201X | Internist - Allergy & Immunology | 32039 | TN |
Y | 2080P0201X | Pediatric Allergist | 32039 | TN |
NPI | 1467418186 |
---|---|
Provider Name | Dr. Christie F Michael |
First Address | Memphis, TN 38105-4607 |
Second Address | Memphis, TN 38105-4625 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2006 |
Last Update Date | 18/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03636241 | (05) | MS |
158607001 | (05) | AR |
H78075 | (02) | |
Q002691 | (05) | TN |