Provider Demographics
NPI:1467554279
Name:SEVIER, GEORGETTE R (MD)
Entity Type:Individual
Prefix:
First Name:GEORGETTE
Middle Name:R
Last Name:SEVIER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:GEORGETTE
Other - Middle Name:R
Other - Last Name:FINLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1407 UNION AVENUE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38104-3600
Mailing Address - Country:US
Mailing Address - Phone:901-866-8360
Mailing Address - Fax:901-302-2360
Practice Address - Street 1:1407 UNION AVENUE
Practice Address - Street 2:SUITE 200
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-3600
Practice Address - Country:US
Practice Address - Phone:901-866-8360
Practice Address - Fax:901-302-2360
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN20345208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN5440975Medicaid
TN103I378183OtherMEDICARE
TN103I378183OtherMEDICARE