MEDICARE: MY WELL CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1952625808
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MY WELL CARE

Provider Business Mailing Address
First Line	:	PO BOX 58793
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37205-8793
Country	:	US
Telephone Number	:	615-833-6898
Fax Number	:	615-833-6895

Provider Business Practice Location Address
First Line	:	2275 MURFREESBORO PIKE
Second Line	:	STE 109 & 110
City	:	NASHVILLE
State	:	TN
Zip	:	37217-3341
Country	:	US
Telephone Number	:	615-833-6898
Fax Number	:	615-833-6895

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	CLARISSA NELSON ARTHUR
Credential	:	MD
Telephone Number	:	615-833-6898

Provider Enumeration Date	:	03/22/2010
Last Update Date	:	07/31/2013

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Directions to “MY WELL CARE ” Practice Location

Language	Start Address	Practice Location

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