Jerkins, Gerald Ray

Jerkins, Gerald Ray is an individual health care provider with primary practice located at 1920 Kirby Pkwy Suite 102, Germantown TN 38138-3610. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Jerkins, Gerald Ray can be contacted via phone (901) 751-0500.

Contact Information

Primary practice address
1920 Kirby Pkwy Suite 102 Germantown TN 38138-3610
Phone: (901) 751-0500
Fax: (901) 751-0551
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD0000008476 Tennessee

Profile Details

NPI number 1306901012
LBN Legal business name Jerkins, Gerald Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306901012 NPPES
Tennessee MEDICAID 3165681

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