MEDICARE: MISS SARAH-JO STIMPSON M.D.

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	208000000X	Pediatrics Physician	051894	TN

General Provider Information

NPI Number	:	1841518321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS SARAH-JO STIMPSON M.D.

Provider Business Mailing Address
First Line	:	1335 ROCK SPRINGS RD
Second Line	:
City	:	SMYRNA
State	:	TN
Zip	:	37167-6108
Country	:	US
Telephone Number	:	615-459-3232
Fax Number	:	615-459-5232

Provider Business Practice Location Address
First Line	:	1335 ROCK SPRINGS RD
Second Line	:
City	:	SMYRNA
State	:	TN
Zip	:	37167-6108
Country	:	US
Telephone Number	:	615-459-3232
Fax Number	:	615-459-5232

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

Provider Enumeration Date	:	05/10/2010
Last Update Date	:	05/03/2017

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