Emerald Primary Care and Wellness Clinic

NPI #1932790128 in Smyrna, Tennessee

Provider Information

NPI Number: 1932790128
Entity Type: Organization
Organization Name: Emerald Primary Care and Wellness Clinic
Primary Specialty: Family Medicine
Enumeration Date: Jan 29, 2021
Last Updated: Mar 29, 2021

Practice Location

Address: 815 NEEDHAM DR
City: Smyrna
State: Tennessee
ZIP Code: 37167-9403
Phone: (601) 672-9730

Authorized Official

Name: CENTERIA GREEN WOOLFOLK, FNP-C
Title: OWNER/ FAMILY NURSE PRACTITIONER
Phone: (601) 672-9730

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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