Well Child Inc.

NPI 1073703591 - Skilled Nursing Facility - 3140N1450X

NPI Details
NPI 1073703591
Enumeration Date 07/31/2007
Last Updated 07/31/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MALLORY I MALLORY
Position NURSE PRACTIONER
Phone (901) 728-5858
Fax (901) 274-5858
Practice Location
2158 UNION AVE STE 100
MEMPHIS TN, 38104-4297, US
Phone (901) 728-5858
Fax (901) 274-5858
Business Location
2158 UNION AVE STE 100
MEMPHIS TN, 38104-4297, US
Phone (901) 728-5858
Fax (901) 274-5858
Toxanomy
Taxonomy Code 3140N1450X
License State Tennessee
License Number 10556
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According to our database, Well Child Inc. NPI is 1073703591, taxonomy code is 3140N1450X and license number is 10556, license state is located at Tennessee. Well Child Inc. physically located at 2158 Union Ave Ste 100, Memphis TN, 38104-4297. NPI Number 1033115704 has the healthcare provider type.

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1073703591 NPI number is provided on an as is basis without warranty of any kind. 1073703591 is maintained by the National Plan & Provider Enumeration System. The contents of Well Child Inc. are for informational purposes only.