| NPI | 1407394018 |
|---|---|
| Doing Business As | WELL CHILD |
| Entity Type | Organization |
| Authorized Contact | PAMELA WINFREY Credentialing Specialist 901-728-5858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 152W00000X Optometrist |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-03-13 |