Individual
JOSEPH MICHAEL SUDDERTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6019 WALNUT GROVE RD, MEMPHIS, TN 38120-2113
(901) 226-5000
Mailing address
34 FRANWOOD CV, JACKSON, TN 38301-3314
(601) 500-2188
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
217268
TN
367500000X
Certified Registered Nurse Anesthetist
901521
MS
Other
Enumeration date
12/27/2017
Last updated
07/17/2024
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