Individual
MRS. JADIE THOMPSON ABENDROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1265 UNION AVE, MEMPHIS, TN 38104-3415
(901) 516-7600
Mailing address
1265 UNION AVE, MEMPHIS, TN 38104-3415
(901) 516-7600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1932
TN
363AM0700X
Medical Physician Assistant
200401
LA
Other
Enumeration date
12/01/2010
Last updated
05/02/2011
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