Provider Demographics
NPI:1962503391
Name:DELLINGER, JANET WOODSON (MD)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:WOODSON
Last Name:DELLINGER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1255 S GERMANTOWN RD
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-2227
Mailing Address - Country:US
Mailing Address - Phone:901-432-1591
Mailing Address - Fax:901-432-1596
Practice Address - Street 1:1255 S GERMANTOWN RD
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-2227
Practice Address - Country:US
Practice Address - Phone:901-432-1591
Practice Address - Fax:901-432-1596
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2009-02-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNTN19123208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNE01480Medicare UPIN