NPI 1861761769

Nelson Blake Giles, EMTIV

Practitioner Intermediate Emergency Medical Technician Memphis, TN

Practice location

Address: 956 Leath St, Memphis, TN 38107-2615
Phone: (901) 834-2900

Registered specialties (2)

Intermediate Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146M00000X Licence 37400 (TN)

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Driver

Other Service Providers Taxonomy 172A00000X Licence 104882749 (TN)

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Registry record

NPI: 1861761769
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Dec 2011
Record last updated: 21 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.