Provider Demographics
NPI:1033217138
Name:WEEMS, JOSEPH LELL (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:LELL
Last Name:WEEMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6423 SHELBY VIEW DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38134-7614
Mailing Address - Country:US
Mailing Address - Phone:901-516-1600
Mailing Address - Fax:901-380-8170
Practice Address - Street 1:6423 SHELBY VIEW DR
Practice Address - Street 2:SUITE 103
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38134-7614
Practice Address - Country:US
Practice Address - Phone:901-516-1600
Practice Address - Fax:901-380-8170
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN0066652081H0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081H0002XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
3157698Medicare ID - Type Unspecified