MEDICARE: DINAH CHRISTIE BATCHELOR

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
1	2080P0210X	Pediatric Nephrology Physician	70888	TN
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1174100341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DINAH CHRISTIE BATCHELOR

Provider Business Mailing Address
First Line	:	920 MADISON AVE # 447
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38103-3438
Country	:	US
Telephone Number	:	901-448-5364
Fax Number	:	901-448-6182

Provider Business Practice Location Address
First Line	:	920 MADISON AVE SUITE 447
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38163-4634
Country	:	US
Telephone Number	:	901-287-6034
Fax Number	:	901-287-5062

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2021
Last Update Date	:	03/17/2026

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