Individual
JONATHAN TYLER VERDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3481 AUSTIN PEAY HWY, MEMPHIS, TN 38128-3801
(901) 842-3160
Mailing address
2595 CENTRAL AVE, MEMPHIS, TN 38104-5905
(901) 842-3160
(901) 842-2360
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
60928
TN
Other
Enumeration date
04/18/2017
Last updated
08/13/2020
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