Entity Information

PEDIATRIC ASSOCIATES OF WEST TENNESSEE PLLC

Active
UEI CAGE Website
GWCKAXCDFCK7 7SNT2 www.kidsgetwell.com

Addresses

Physical Address
1501 BRAYTON AVE
DYERSBURG, TN 38024
UNITED STATES OF AMERICA
Mailing Address
1501 BRAYTON AVE
DYERSBURG, TN 38024
UNITED STATES OF AMERICA

Business Type

FOR PROFIT ORGANIZATION
LIMITED LIABILITY COMPANY
SELF CERTIFIED SMALL DISADVANTAGED BUSINESS
WOMAN-OWNED BUSINESS
WOMEN-OWNED SMALL BUSINESS

NAICS Codes

Code
Description
OFFICES OF ALL OTHER MISCELLANEOUS HEALTH PRACTITIONERS (PRIMARY NAICS)
OFFICES OF PHYSICIANS, MENTAL HEALTH SPECIALISTS
ALL OTHER OUTPATIENT CARE CENTERS
ALL OTHER MISCELLANEOUS AMBULATORY HEALTH CARE SERVICES

Contacts

Type
Person
PRIMARY
JAMIE L ELLERBROOK (DR.)
ALTERNATE
JAMIE L ELLERBROOK (DR.)
PAST PERF.
JAMIE L ELLERBROOK (DR.)
PAST PERF. ALT.
JAMIE L ELLERBROOK (DR.)
ELECTRONIC
KASANDRA D AUSTIN (PRACTICE MANAGER)
ELECTRONIC ALT.
JAMIE L ELLERBROOK (DR.)
Notification