Vernon Lerome Baymon Jr.
Individual provider Active NPI Driver · Memphis, TN
NPI 1972139350 · NPPES record last updated Mar 18, 2020
Key facts
- NPI
- 1972139350
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- 103696780 (TN)
- Practice address
- 1661 International Place Dr Ste 400
Memphis, TN 38120-1431 - Phone
- (901) 212-5598
- NPI assigned
- Mar 18, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103696780 | TN | MD | Driver |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 103696780 | TN | Yes |
Addresses
Primary practice location
1661 International Place Dr Ste 400
Memphis, TN 38120-1431
Mailing address
1661 International Place Dr Ste 400
Memphis, TN 38120-1431
Phone (901) 212-5598
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.