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Organization
TCB HEALTH & WELLNESS
Active
Organization
TCB HEALTH & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN STUART BROWN (MANAGER)
(225) 819-6939
Entity
Organization
Contact information
Practice address
2877 CENTRAL AVE # A, MEMPHIS, TN 38111-2405
(225) 819-6939
Mailing address
2877 CENTRAL AVE # A, MEMPHIS, TN 38111-2405
(225) 819-6939
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21896
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q025257
—
TN
Enumeration date
07/11/2018
Last updated
07/11/2018
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