Individual
JASON M VANATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1265 UNION AVE, 4 SHORB TOWER, MEMPHIS, TN 38104-3415
(901) 478-9183
(901) 478-8957
Mailing address
9035 TELLURIDE CV, GERMANTOWN, TN 38138-8400
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
42475
TN
208600000X
Surgery Physician
42475
TN
208600000X
Surgery Physician
Primary
61282
KY
Other
Enumeration date
08/09/2006
Last updated
10/08/2025
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