Individual
WYATT ROBERT ALGEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 E TICKLE ST, DYERSBURG, TN 38024-3120
(731) 285-9938
(731) 287-8809
Mailing address
1067 VENDALL RD, SUITE A, DYERSBURG, TN 38024-1622
(731) 285-9938
(731) 287-8809
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
6899
TN
207R00000X
Internal Medicine Physician
Primary
6899
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3897071
—
TN
05
—
3897072
—
TN
Enumeration date
05/26/2006
Last updated
07/02/2014
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