Individual provider · Type 1 NPI

Mark W. Weatherly, MD

Vascular & Interventional Radiology Physician · Germantown, TN

NPI number 1144223553 Active

Practice location

7695 Poplar Pike, Suite 101
Germantown, TN 38138-5947

Call (901) 685-2696 Map

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X12841 (TN)
Vascular & Interventional Radiology Physician Primary 2085R0204X12841 (TN)
Vascular & Interventional Radiology Physician 2085R0204X10958 (MS)

Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

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About NPI 1144223553

Mark W. Weatherly, MD's National Provider Identifier is 1144223553, issued on May 31, 2005. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Germantown, TN. The record was last updated on Aug 3, 2016.