Healthcare Provider Details
I. General information
NPI: 1619765195
Provider Name (Legal Business Name): AIMME CORTES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/25/2025
Last Update Date: 04/25/2025
Certification Date: 04/25/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
UNIVERSITY OF TENNESSEE 902 MADISON AVENUE SUITE 447
MEMPHIS TN
38163-0001
US
IV. Provider business mailing address
1729 LOCH DR
CULLMAN AL
35055-0696
US
V. Phone/Fax
- Phone: 901-448-0230
- Fax:
- Phone: 256-869-9828
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: