Organization
E-C-T NON EMERGENCY MEDICAL TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS PENINAH MUMBI WAIGWA M.D (M.D)
(865) 805-5285
Entity
Organization
Contact information
Practice address
6869 WOODLAKE DR, MEMPHIS, TN 38119
(865) 805-8285
Mailing address
6869 WOODLAKE DR, MEMPHIS, TN 38119
(865) 805-8285
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
TN
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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