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Organization

WELLNESS ONE MEMPHIS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RUSSELL D RADICAN DC (PRESIDENT)
(901) 682-5335
Entity
Organization

Contact information

Practice address
6100 PRIMACY PKWY STE 112, MEMPHIS, TN 38119-0705
(901) 682-5335
(901) 682-5440
Mailing address
6100 PRIMACY PKWY STE 112, MEMPHIS, TN 38119-0705
(901) 682-5335
(901) 682-5440

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
09/24/2015
Last updated
07/25/2025
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