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Contact Information

WT MEDICAL ASSOCIATES
1629 WOODLAWN AVE
DYERSBURG, TN38024
 Phone: 731-512-1277
 Fax: 731-285-1440
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Acute Care

363LA2100X 50 Nurse Practitioner
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Family

363LF0000X 50 Nurse Practitioner
 

Medical

363AM0700X 97 Physician Assistant
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Primary Care

363LP2300X 50 Nurse Practitioner
 

Women's Health

363LW0102X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for WT MEDICAL ASSOCIATES · (Female)

NPI # 1295223279
Status Active
Credentials
Entity Individual
Enumeration date 04/25/2018
Last updated 10/30/2025 - About 7 months ago
Sole proprietor 1 Not specified
Identifiers
  • TN Medicaid Q037006
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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