Individual
ALYSSA JAMESON WIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
401 SOUTHCREST CIR STE 201, SOUTHAVEN, MS 38671-6721
(662) 349-0311
(662) 349-0121
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
26956
MS
208600000X
Surgery Physician
59803
TN
208600000X
Surgery Physician
ME136708
FL
Other
Enumeration date
06/12/2012
Last updated
12/17/2019
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