Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | 31812 | TN |
NPI | 1023011236 |
---|---|
Provider Name | Dr. Elisabeth E Adderson |
First Address | Memphis, TN 38105-3678 |
Second Address | Memphis, TN 38105 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2005 |
Last Update Date | 26/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00121227 | (05) | MS |
0527788 | (05) | IA |
100179830A | (05) | OK |
104788392 | (05) | MI |
1146360 00 | (05) | WY |
138461001 | (05) | AR |
1561843 | (05) | LA |
200253180A | (05) | IN |
200379130A | (05) | KS |
205026305 | (05) | MO |
3897997 | (05) | TN |
422400000 | (05) | ME |
64008287 | (05) | KY |
F40155 | (02) | TN |