Well Child of Mississippi

NPI #1457793259 in Memphis, Tennessee

Provider Information

NPI Number: 1457793259
Entity Type: Organization
Organization Name: Well Child of Mississippi
Primary Specialty: Optometrist
Enumeration Date: Jul 22, 2013
Last Updated: Jul 22, 2013

Practice Location

Address: 1785 NONCONNAH BLVD
Address 2: SUITE 120
City: Memphis
State: Tennessee
ZIP Code: 38132-2104
Phone: (901) 728-5858

Authorized Official

Name: MS. KAREN J. PEASE
Title: CEO
Phone: (901) 728-5858

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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