Organization Name: | MAXIMUM HEALTH AND WELLNESS LLC |
NPI Number: | 1629493424 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KENDRICK JOYCE (OWNER) |
Mailing Address: | 6094 Apple Tree Dr Suite 6 Memphis |
State: | TN US |
Postal Code: | 381150308 |
Phone Number: | 9017914205 |
Fax Number: | 9017914157 |
NPI Enumeration Date: | 03/03/2014 |
NPI Last Update Date: | 03/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 44185 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |