Jonathan Tyler Verdell, MD
Family Medicine in Memphis, TN. Individual provider (NPI-1).
NPI number1982138764
StatusActive
Last updated in NPPESAug 13, 2020
Details
- NPI
- 1982138764
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Tyler Verdell
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 18, 2017
- Certification date
- Aug 13, 2020
- Last updated
- Aug 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 60928 | TN | Yes |
Practice location
3481 Austin Peay HwyMemphis, TN 38128-3801
Phone 901-842-3160
Mailing address
2595 Central AveMemphis, TN 38104-5905
Phone 901-842-3160 · Fax 901-842-2360
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