Organization
YOUR WELLNESS CHOICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMELDA WILLIAMS (OWNER)
(901) 672-6410
Entity
Organization
Contact information
Practice address
1143 CULLY RD, CORDOVA, TN 38018-8502
(901) 672-6410
(901) 752-8843
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7562
(317) 806-1157
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/03/2016
Last updated
07/21/2022
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