Healthcare Provider Details

I. General information

NPI: 1346372117
Provider Name (Legal Business Name): DONALD K STRICKLAND JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9190 BEAVER VALLEY LN
CORDOVA TN
38018-7722
US

IV. Provider business mailing address

9190 BEAVER VALLEY LN
CORDOVA TN
38018-7722
US

V. Phone/Fax

Practice location:
  • Phone: 901-624-4703
  • Fax: 901-309-2572
Mailing address:
  • Phone: 901-624-4703
  • Fax: 901-309-2572

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number29306
License Number StateTN

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: