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Organization
WELL CHILD OF GEORGIA, PLLC
Active
Organization
WELL CHILD OF GEORGIA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN J PEASE (CEO)
(901) 728-5858
Entity
Organization
Contact information
Practice address
650 NEW YORK ST, MEMPHIS, TN 38104-5536
(901) 728-5858
(901) 531-6312
Mailing address
650 NEW YORK ST, MEMPHIS, TN 38104-5536
(901) 728-5858
(901) 531-6312
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
152W00000X
Optometrist
—
—
174400000X
Specialist
—
—
207Q00000X
Family Medicine Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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