Organization
VERZOSA UNGAB INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL T VERZOSA MD (PRESIDENT)
(901) 388-7711
Entity
Organization
Contact information
Practice address
2851 STAGE CENTER DR, BARTLETT, TN 38134-4679
(901) 388-7711
(901) 507-2280
Mailing address
2851 STAGE CENTER DR, BARTLETT, TN 38134-4679
(901) 388-7711
(901) 507-2280
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2586717
AETNA
TN
Enumeration date
05/09/2006
Last updated
12/10/2009
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