OrganizationActive
Pediatric Neurology
NPI 1811054372 · Neurology with Special Qualifications in Child Neurology Physician · Germantown, TN
Provider details
- NPI number
- 1811054372
- Entity type
- Organization
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Loretta Brown, Office Administrator(901) 405-0275
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Clinical Neurophysiology Physician2084N0600X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
7645 Wolf River Cir
Germantown, TN 38138-1751
Phone: (901) 405-0275
Approximate (ZIP-level) locationGet directions
Mailing address
7645 Wolf River Cir
Germantown, TN 38138-1751
Registry dates
- Enumerated
- 2007-01-03
- Last updated
- 2008-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.