Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 2897 | TN |
N | 208000000X | Pediatrician | UO2118 | FL |
Y | 2080P0207X | Pediatric Hematology-Oncologist | 2897 | TN |
N | 2080P0207X | Pediatric Hematology-Oncologist | 34.014639 | OH |
NPI | 1255566352 |
---|---|
Provider Name | Dr. Rachael Anne Courtney |
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 | 19/05/2009 |
Last Update Date | 18/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0324145 | (05) | OH |