Organization
JANICE S. ALGEGA, MD
Active
Other names
Primary Care Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM WICKER (PATIENT ACCT REP)
(901) 873-4242
Entity
Organization
Contact information
Practice address
8081 HIGHWAY 51 NORTH, MILLINGTON, TN 38053
(901) 873-4242
Mailing address
8081 HIGHWAY 51 NORTH, MILLINGTON, TN 38053
(901) 873-4242
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
016598
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1530867
—
TN
Enumeration date
08/29/2014
Last updated
08/29/2014
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