Organization
JESSE M WESBERRY MD PSC
Active
Other names
Wesberry Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY LEE WESBERRY (VICE PRESIDENT/OFFICE MANGER)
(901) 362-3100
Entity
Organization
Contact information
Practice address
2900 S PERKINS RD, MEMPHIS, TN 38118-3237
(901) 362-3100
(901) 362-3372
Mailing address
2900 S PERKINS RD, MEMPHIS, TN 38118-3237
(901) 362-3100
(901) 362-3372
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MD13481
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0431972
HEALTHSPRING ID#
TN
Enumeration date
04/26/2007
Last updated
06/16/2008
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