Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | 39718 | TN |
NPI | 1013914662 |
---|---|
Provider Name | Dr. Monika Metzger |
First Address | Memphis, TN 38105-3678 |
Second Address | Memphis, TN 38105-3678 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2005 |
Last Update Date | 26/01/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009998465 | (05) | AL |
0147771 | (05) | MT |
09652249 | (05) | MS |
158824001 | (05) | AR |
177222001 | (05) | TX |
1777978 | (05) | LA |
200056690A | (05) | OK |
200379210A | (05) | KS |
200520160A | (05) | IN |
207235904 | (05) | MO |
5440555 | (05) | TN |
64099716 | (05) | KY |
7615330 | (05) | NC |
I31496 | (02) | TN |