| Doctor Name: | MRS. TONYA WARD MEDFORD |
| NPI Number: | 1033437843 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 169503 |
| Business Practice Address: | 500 Highway 51 S Ripley, TN - 380634583 |
| Business Phone Number: | 7316354661 |
| Business Fax Number: | 7316353630 |
| Mailing Address: | 275 Tate Rd, DYERSBURG |
| State: | TN |
| Postal Code: | 380248813 |
| Phone Number: | 7312863578 |
| Fax Number: | |
| NPI Enumeration Date: | 05/05/2010 |
| NPI Last Update Date: | 05/05/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | 169503 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |