Provider Demographics
NPI:1649470121
Name:AELION, MIRIAM N (MD)
Entity type:Individual
Prefix:DR
First Name:MIRIAM
Middle Name:N
Last Name:AELION
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 1:6845 CORSICA DR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-3408
Mailing Address - Country:US
Mailing Address - Phone:901-756-6104
Mailing Address - Fax:
Practice Address - Street 1:6845 CORSICA DR
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-3408
Practice Address - Country:US
Practice Address - Phone:901-756-6104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program