Organization
WELL CHILD OF MISSISSIPPI LLC
Active
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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