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NPI Code Detail

MEDICARE: SYMED, LLC

MEDICARE: SYMED, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518096601
Entity Type Code : Organization
Provider Name (Legal Business Name) : SYMED, LLC
Provider Business Mailing Address
First Line : 55 HATCHETTS HILL RD
Second Line :
City : OLD LYME
State : CT
Zip : 06371-1534
Country : US
Telephone Number : 800-370-3651
Fax Number : 877-515-7147
Provider Business Practice Location Address
First Line : 3150 LENOX PARK BLVD
Second Line : SUITE 214
City : MEMPHIS
State : TN
Zip : 38115-4299
Country : US
Telephone Number : 901-273-2368
Fax Number : 901-273-2351
Authorized Official
Title or Position : DIRECTOR, CREDENTIALING ENROLLMENT
Name : MELISSA KING
Credential :
Telephone Number : 800-370-3651
Provider Enumeration Date : 03/05/2007
Last Update Date : 07/11/2017

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