| The Transformation Doctor, LLC Dba Wellnessmd | |
|
3680 S Houston Levee Rd Ste 104 Collierville TN 38017-9151 | |
| (901) 221-7212 | |
| (901) 221-7217 |
| Full Name | The Transformation Doctor, LLC Dba Wellnessmd |
|---|---|
| Speciality | Clinic/center |
| Location | 3680 S Houston Levee Rd Ste 104, Collierville, Tennessee |
| Authorized Official Name and Position | Allison White (CLINIC OWNER/ADMINISTRATOR) |
| Authorized Official Contact | 9012217212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Transformation Doctor, LLC Dba Wellnessmd 3680 S Houston Levee Rd Ste 104 Collierville TN 38017-9151 Ph: (901) 221-7212 | The Transformation Doctor, LLC Dba Wellnessmd 3680 S Houston Levee Rd Ste 104 Collierville TN 38017-9151 Ph: (901) 221-7212 |
| NPI Number | 1225673395 |
|---|---|
| Provider Enumeration Date | 11/13/2019 |
| Last Update Date | 07/07/2020 |
| Certification Date | 07/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225673395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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