Organization
WHEE DAVIS FITNESS & HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCHRICE DAVIS (FNP)
(901) 461-7634
Entity
Organization
Contact information
Practice address
8076 MISTY MEADOWS LN, MEMPHIS, TN 38125-2441
(901) 315-4325
Mailing address
8076 MISTY MEADOWS LN, MEMPHIS, TN 38125-2441
(901) 315-4325
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
109003480
TN
302R00000X
Health Maintenance Organization
109003480
TN
Other
Enumeration date
07/14/2009
Last updated
07/14/2009
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