Organization
FAMILY CENTER OF WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY KIM MOORE PHD (PRESIDENT)
(901) 299-2887
Entity
Organization
Contact information
Practice address
6094 APPLE TREE DRIVE, SUITE 5, MEMPHIS, TN 38115
(901) 299-2887
Mailing address
6094 APPLE TREE DRIVE, SUITE 5, MEMPHIS, TN 38115
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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