Healthcare Provider Details

I. General information

NPI: 1174100341
Provider Name (Legal Business Name): DINAH CHRISTIE BATCHELOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2021
Last Update Date: 06/20/2024
Certification Date: 06/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 MADISON AVE SUITE 447
MEMPHIS TN
38163-4634
US

IV. Provider business mailing address

501 6TH AVE S
SAINT PETERSBURG FL
33701-4634
US

V. Phone/Fax

Practice location:
  • Phone: 901-287-6034
  • Fax: 901-287-5062
Mailing address:
  • Phone: 727-767-4106
  • Fax: 727-767-8804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0210X
TaxonomyPediatric Nephrology Physician
License Number70888
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: