# EMERALD PRIMARY CARE AND WELLNESS CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Emerald Primary Care and Wellness Clinic, PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932790128
- **Authorized official:** CENTERIA GREEN WOOLFOLK FNP-C (OWNER/ FAMILY NURSE PRACTITIONER)
- **Authorized official phone:** (601) 672-9730

## Contact information

- **Practice address:** 815 NEEDHAM DR, SMYRNA, TN 37167-9403
- **Practice address phone:** (601) 672-9730
- **Mailing address:** 1130 BRITANNIA WAY, MURFREESBORO, TN 37129-3791
- **Mailing address phone:** (601) 672-9730

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/29/2021
- **Last updated:** 03/29/2021