Well Child Of Mississippi Llc

NPI 1508120387 - Family Medicine - 207Q00000X

NPI Details
NPI 1508120387
Enumeration Date 06/27/2012
Last Updated 08/25/2014
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name KAREN J KAREN
Position CEO
Phone (901) 728-5858
Fax (901) 274-5858
Practice Location
1785 NONCONNAH BLVD STE 120
MEMPHIS TN, 38132-2112, US
Phone (901) 728-5858
Fax (901) 274-5858
Business Location
1785 NONCONNAH BLVD STE 120
MEMPHIS TN, 38132-2112, US
Phone (901) 728-5858
Fax (901) 274-5858
Toxanomy
Taxonomy Code 207Q00000X
License State Tennessee
License Number 13712
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According to our database, Well Child Of Mississippi Llc NPI is 1508120387, taxonomy code is 207Q00000X and license number is 13712, license state is located at Tennessee. Well Child Of Mississippi Llc physically located at 1785 Nonconnah Blvd Ste 120, Memphis TN, 38132-2112. NPI Number 1033115704 has the healthcare provider type.

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1508120387 NPI number is provided on an as is basis without warranty of any kind. 1508120387 is maintained by the National Plan & Provider Enumeration System. The contents of Well Child Of Mississippi Llc are for informational purposes only.