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Individual

JESS M WESBERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
930 MADISON AVE STE 200, MEMPHIS, TN 38103-3452
(901) 448-6650
(901) 302-2486
Mailing address
1068 CRESTHAVEN RD STE 300, MEMPHIS, TN 38119-0809
(901) 866-8864

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
13481
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000196963
ANTHEM BCBS
01
0004104524
AETNA
01
0033947
BCBS
TN
05
1510408
TN
05
175299001
AR
01
181093048
RAILROAD MEDICARE
TN
05
200010529
MS
01
73068909
BCBS
AL
01
P1696003
OHI/INC UNITED HEALTH
01
Y92279
AMERIHEALTH
Enumeration date
10/05/2006
Last updated
02/21/2025
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