Dr. Jacques E Samson
Obstetrician & Gynecologist Gynecologist - Maternal & Fetal Medicine
880 Madison Ave
Memphis
, Tennessee 38103-3409
Dr. Jacques E Samson
Obstetrician & Gynecologist Gynecologist - Maternal & Fetal Medicine
880 Madison Ave
Memphis
, Tennessee 38103-3409
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About
Features
Specialties
- Obstetrician & Gynecologist
- Gynecologist - Maternal & Fetal Medicine
Languages spoken
- English
Location
First Address
- Dr. Jacques E Samson
- 877 Jefferson Ave Attn: Provider Enrollment
- Memphis, TN
- Zip : 38103
- Phone :
Second Address
- Dr. Jacques E Samson
- 880 Madison Ave
- Memphis, TN
- Zip : 38103-3409
- Fax : (901) 515-3509
- Phone : (901) 515-3500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207V00000X | Obstetrician & Gynecologist | 4301082859 | MI |
| Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 42670 | TN |
| N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | R8823 | TX |
National Provider Identifier
| NPI | 1326082157 |
|---|---|
| Provider Name | Dr. Jacques E Samson |
| First Address | Memphis, TN 38103 |
| Second Address | Memphis, TN 38103-3409 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/06/2006 |
| Last Update Date | 04/02/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.