Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | 15557 | TN |
NPI | 1609879865 |
---|---|
Provider Name | Dr. Patricia M Flynn |
First Address | Memphis, TN 38105-2794 |
Second Address | Memphis, TN 38105-2794 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2005 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00015183 | (05) | MS |
0533356 | (05) | IA |
1429651 | (05) | LA |
2004422 | (05) | OH |
3029895 | (05) | TN |
64795750 | (05) | KY |
6738338 | (05) | VA |
A99384 | (02) | TN |