Wellness Clinic And Family Care Pllc

NPI 1013163690 - Clinic/Center - 261QP2300X

NPI Details
NPI 1013163690
Enumeration Date 08/14/2008
Last Updated 11/26/2014
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name ERIKA HAZARD ERIKA
Position MEMBER
Phone (731) 256-0526
Fax (731) 256-1720
Practice Location
21 MERIDIAN SPRINGS DR
JACKSON TN, 38301-5900, US
Phone (731) 256-0526
Fax (731) 256-1720
Business Location
2410 ENVILLE RD
HENDERSON TN, 38340-3945, US
Phone (731) 983-2328
Fax
Toxanomy
Taxonomy Code 261QP2300X
License State Tennessee
License Number MD024799
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According to our database, Wellness Clinic And Family Care Pllc NPI is 1013163690, taxonomy code is 261QP2300X and license number is MD024799, license state is located at Tennessee. Wellness Clinic And Family Care Pllc physically located at 21 Meridian Springs Dr, Jackson TN, 38301-5900. NPI Number 1033115704 has the healthcare provider type.

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1013163690 NPI number is provided on an as is basis without warranty of any kind. 1013163690 is maintained by the National Plan & Provider Enumeration System. The contents of Wellness Clinic And Family Care Pllc are for informational purposes only.