Organization
CONRAD PEARSON CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA WILSON (CREDENTIALING SPECIALIST)
(901) 252-3411
Entity
Organization
Contact information
Practice address
1325 WOLF PARK DR STE 102, GERMANTOWN, TN 38138-1759
(901) 252-4311
(901) 763-4305
Mailing address
1325 WOLF PARK DR STE 103, GERMANTOWN, TN 38138-1759
(901) 252-3411
(901) 763-4305
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/04/2013
Last updated
03/04/2013
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