Organization
WELL CHILD OF MISSISSIPPI LLC
Active
Parent organization
WCI MANAGEMENT SERVICES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WCI MANAGEMENT SERVICES LLC
Authorized official
KAREN J PEASE APN (CEO)
(901) 728-5858
Entity
Organization
Contact information
Practice address
1785 NONCONNAH BLVD STE 120, MEMPHIS, TN 38132-2112
(901) 728-5858
(901) 274-5858
Mailing address
1785 NONCONNAH BLVD STE 120, MEMPHIS, TN 38132-2112
(901) 728-5858
(901) 274-5858
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
13712
TN
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/27/2012
Last updated
08/25/2014
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