Individual
DR. MARK FELLOWS WEEMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
853 JEFFERSON AVE, ROUT BLDG E201, MEMPHIS, TN 38103-2807
(901) 448-5950
Mailing address
1068 CRESTHAVEN RD STE 300, MEMPHIS, TN 38119-0809
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A106872
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
50174
TN
2080N0001X
Neonatal-Perinatal Medicine Physician
A106872
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04328790
—
MS
05
—
1533405
—
TN
05
—
198061001
—
AR
Enumeration date
03/04/2009
Last updated
02/25/2025
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