Individual
MICHAEL TEDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 RED WOLF BLVD, JONESBORO, AR 72405
(870) 972-8181
(870) 933-1824
Mailing address
PO BOX 1331, JONESBORO, AR 72403
(870) 932-7024
(870) 930-9377
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C-4865
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102541001
—
AR
Enumeration date
03/29/2006
Last updated
03/13/2026
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