Individual
DR. CLARICE WEATHERS MULLINAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3124 NORTH THOMAS STREET, CHRIST COMMUNITY HEALTH SERVICES INC, MEMPHIS, TN 38127
(901) 260-8400
(901) 260-8590
Mailing address
2595 CENTRAL AVE, CHRIST COMMUNITY HEALTH SERVICES INC, MEMPHIS, TN 38104-5905
(901) 260-8500
(901) 260-8590
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0000036835
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3879609
—
TN
Enumeration date
05/05/2006
Last updated
12/13/2011
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