The Conrad Pearson Clinic

LBN: Conrad Pearson Clinic Pc
The Conrad Pearson Clinic is an health care organization with primary practice located at 1325 Wolf Park Dr Ste 102 , Germantown TN 38138-1759. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Conrad Pearson Clinic Pc can be contacted via phone (901) 252-3400, or through Degeorge, Russell A via phone (901) 252-3400.

Contact Information

Primary practice address
1325 Wolf Park Dr Ste 102 Germantown TN 38138-1759
Phone: (901) 252-3400
Fax: (901) 682-0047
Website:
Map and Directions
Authorized official contact:
Name: Degeorge, Russell A
Phone: (901) 252-3400

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X N/A FOR THE GROUP Tennessee
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1992758882
LBN Legal business name Conrad Pearson Clinic Pc
DBA Doing business as The Conrad Pearson Clinic
Authorized official Degeorge, Russell A
Entity Organization
Organization subpart 1 Yes
Enumeration date May 19th, 2006
Last updated Apr 15th, 2024 - about 8 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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