Individual
JACOB ANTHONY BEZOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 PEABODY AVE, MEMPHIS, TN 38104-4506
(901) 707-6861
(901) 805-6300
Mailing address
1200 PEABODY AVE, MEMPHIS, TN 38104-4506
(901) 805-6300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
67663
TN
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
67663
TN
208M00000X
Hospitalist Physician
67663
TN
Other
Enumeration date
04/20/2019
Last updated
11/13/2025
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