Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RN0300X | Nephrologist | 37697 | TN |
Y | 2080P0210X | Pediatric Nephrologist | 37697 | TN |
NPI | 1174544811 |
---|---|
Provider Name | Margaret Colleen Hastings |
First Address | Memphis, TN 38103 |
Second Address | Memphis, TN 38105 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 08/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
09235864 | (05) | MS |
1174544811 | (05) | MO |
1504965 | (05) | TN |
154262001 | (05) | AR |
3893919 | (05) | TN |
4092224 | BCBS TN (01) | TN |
7008588 | AETNA (01) | TN |
99604 | BCBS AR (01) | AR |
I06337 | (02) |