Provider Demographics
NPI:1619321635
Name:VARNER, FERRELL (MD)
Entity Type:Individual
Prefix:DR
First Name:FERRELL
Middle Name:
Last Name:VARNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 MADISON AVE SECOND FLOOR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38163-3438
Mailing Address - Country:US
Mailing Address - Phone:901-448-2302
Mailing Address - Fax:901-448-1477
Practice Address - Street 1:920 MADISON AVE
Practice Address - Street 2:SUITE 447
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38163-3438
Practice Address - Country:US
Practice Address - Phone:901-448-2302
Practice Address - Fax:901-448-1477
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-15
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TN604602084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program