Mejia, Jose G

Mejia, Jose G is an individual health care provider with primary practice located at 6027 Walnut Grove Rd Ste 319 , Memphis TN 38120-2128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mejia, Jose G can be contacted via phone (901) 226-3882.

Contact Information

Primary practice address
6027 Walnut Grove Rd Ste 319 Memphis TN 38120-2128
Phone: (901) 226-3882
Fax: (901) 226-3883
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 58297 Tennessee
Allopathic & Osteopathic Physicians / Surgery 208600000X ME81630 Florida

Profile Details

NPI number 1679573638
LBN Legal business name Mejia, Jose G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Oct 22nd, 2018 - about 6 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 1679573638 NPPES
Florida MEDICAID 261130900

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