Individual
MR. JIMMY CLYCE WEATHERLY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3840 VISCOUNT AVE, SUITE 14, MEMPHIS, TN 38118-6023
(901) 779-4199
(901) 779-7103
Mailing address
3840 VISCOUNT AVE, SUITE 14, MEMPHIS, TN 38118-6023
(901) 779-4199
(901) 779-7103
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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