Gerald Johnson Presbury
Pediatrician Pediatric Emergency Physician
50 N Dunlap St
Memphis
, Tennessee 38103-2800
Gerald Johnson Presbury
Pediatrician Pediatric Emergency Physician
50 N Dunlap St
Memphis
, Tennessee 38103-2800
(901) 287-6072
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About
Features
Specialties
- Pediatric Emergency Physician
- Pediatrician
Languages spoken
- English
Location
First Address
- Gerald Johnson Presbury
- 777 Washington Ave Suite P 110
- Memphis, TN
- Zip : 38105-4550
- Fax : (901) 287-6072
- Phone : (901) 448-2000
Second Address
- Gerald Johnson Presbury
- 50 N Dunlap St
- Memphis, TN
- Zip : 38103-2800
- Phone : (901) 869-5708
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207PP0204X | Pediatric Emergency Physician | 13054 | TN |
| Y | 208000000X | Pediatrician | MD 13054 | TN |
National Provider Identifier
| NPI | 1588664726 |
|---|---|
| Provider Name | Gerald Johnson Presbury |
| First Address | Memphis, TN 38105-4550 |
| Second Address | Memphis, TN 38103-2800 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/07/2005 |
| Last Update Date | 05/12/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3187118 | (05) | TN |
| AP1019442 | DEA (01) | |
| B59477 | (02) | TN |
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.