Individual
MRS. REBEKAH MEADOWS DEDWYLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2901 FRANCES PL, MEMPHIS, TN 38111-2401
(901) 826-8242
Mailing address
2901 FRANCES PL, MEMPHIS, TN 38111-2401
(901) 826-8242
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00104
MS
Other
Enumeration date
04/18/2006
Last updated
05/11/2010
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