Organization
WELL CHILD
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
Mailing address
650 NEW YORK ST, MEMPHIS, TN 38104-5536
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
05/29/2015
Last updated
06/02/2015
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