Provider Demographics
NPI:1275597775
Name:ALGEA, JANICE SKINNER (MD)
Entity Type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:SKINNER
Last Name:ALGEA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8222 HWY 51 N
Mailing Address - Street 2:
Mailing Address - City:MILLINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38053
Mailing Address - Country:US
Mailing Address - Phone:901-873-4242
Mailing Address - Fax:901-873-4269
Practice Address - Street 1:8222 HWY 51 N
Practice Address - Street 2:
Practice Address - City:MILLINGTON
Practice Address - State:TN
Practice Address - Zip Code:38053
Practice Address - Country:US
Practice Address - Phone:901-873-4242
Practice Address - Fax:901-873-4269
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-13
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD09589208000000X
TNMD09585208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNMD09585OtherMD
TN3199589Medicaid
TNQ012099Medicaid