Individual
TIMOTHY JOSEPH WEATHERALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1385 W BRIERBROOK RD, GERMANTOWN, TN 38138-2208
(901) 390-2930
Mailing address
1385 W BRIERBROOK RD, GERMANTOWN, TN 38138-2208
(901) 390-2930
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
56269
TN
Other
Enumeration date
06/06/2012
Last updated
07/31/2019
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