Individual
KIMBERLY FELICIA WOMBACK RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8951 GOLF WALK CIR S, MEMPHIS, TN 38125-8910
(901) 230-9278
Mailing address
8951 GOLF WALK CIR S, MEMPHIS, TN 38125-8910
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
19047
MS
207P00000X
Emergency Medicine Physician
37227
TN
207P00000X
Emergency Medicine Physician
Primary
E-7028
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02358211
—
MS
01
—
33421
TLC TENNCARE
TN
01
—
4112805
BLUE CROSS
TN
Enumeration date
05/28/2006
Last updated
03/06/2014
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