Individual
PAUL WEATHERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
51 N DUNLAP ST # G10, MEMPHIS, TN 38105-4625
(901) 287-7337
Mailing address
850 POPLAR AVE, MEMPHIS, TN 38105-4607
(901) 287-7337
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
34756
TN
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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