Dr. Robert J Wyatt
Pediatric Nephrologist
1910 Nonconnah Blvd Suite 120
Memphis
, Tennessee 38132-2113
Dr. Robert J Wyatt
Pediatric Nephrologist
1910 Nonconnah Blvd Suite 120
Memphis
, Tennessee 38132-2113
(901) 448-8015
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About
Features
Specialties
- Pediatric Nephrologist
Languages spoken
- English
Location
First Address
- Dr. Robert J Wyatt
- 66 N Pauline St Suite 206
- Memphis, TN
- Zip : 38105-5105
- Fax : (901) 448-8015
- Phone : (901) 448-7642
Second Address
- Dr. Robert J Wyatt
- 1910 Nonconnah Blvd Suite 120
- Memphis, TN
- Zip : 38132-2113
- Fax : (901) 448-6657
- Phone : (901) 448-2300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0210X | Pediatric Nephrologist | 15403 | TN |
National Provider Identifier
| NPI | 1912965070 |
|---|---|
| Provider Name | Dr. Robert J Wyatt |
| First Address | Memphis, TN 38105-5105 |
| Second Address | Memphis, TN 38132-2113 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/05/2006 |
| Last Update Date | 14/03/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3010536 | (05) | TN |
| A97478 | (02) |
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.