Well Child Of Georgia, Pllc is a
Nurse Practitioner - Family based in Memphis, Tennessee. Well Child Of Georgia, Pllc is licensed to practice in * (Not Available) (license number ) and their current practice location is
650 New York St, Memphis, Tennessee. It can be reached at their office (for appointments etc.) via phone at
(901) 728-5858.
NPI number for Well Child Of Georgia, Pllc is 1740655158 and their current mailing address is 650 New York St, Memphis, Tennessee. Well Child Of Georgia, Pllc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1740655158.
Healthcare Provider's Profile
| Full Name | Well Child Of Georgia, Pllc |
|---|
| Type | Facility |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 650 New York St, Memphis, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1740655158
- Provider Enumeration Date: 12/10/2015
- Last Update Date: 12/10/2015
Medical Identifiers
Medical identifiers for Well Child Of Georgia, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740655158 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 174400000X | Specialist | (* (Not Available)) | Secondary |
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Well Child Of Georgia, Pllc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Well Child Of Georgia, Pllc
650 New York St,
Memphis, TN 38104-5536
Ph: (901) 728-5858 | Well Child Of Georgia, Pllc
650 New York St,
Memphis, TN 38104-5536
Ph: (901) 728-5858 |
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