Tenn Sm Llc

NPI 1235395385 - Clinic/Center - 261QA1903X

NPI Details
NPI 1235395385
Enumeration Date 07/29/2008
Last Updated 05/09/2014
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name KATHERINE L KATHERINE
Position MEDICARE AUTHORIZED OFFICIAL
Phone (615) 553-9100
Fax (615) 553-9109
Practice Location
5002 CROSSINGS CIR
STE 110
MOUNT JULIET TN, 37122-8471, US
Phone (615) 553-9100
Fax (615) 553-9109
Business Location
5002 CROSSINGS CIR
STE 110
MOUNT JULIET TN, 37122-8471, US
Phone (615) 553-9100
Fax (615) 553-9109
Toxanomy
Taxonomy Code 261QA1903X
License State Tennessee
License Number 00000000199
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According to our database, Tenn Sm Llc NPI is 1235395385, taxonomy code is 261QA1903X and license number is 00000000199, license state is located at Tennessee. Tenn Sm Llc physically located at 5002 Crossings Cir, Mount Juliet TN, 37122-8471. NPI Number 1033115704 has the healthcare provider type.

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1235395385 NPI number is provided on an as is basis without warranty of any kind. 1235395385 is maintained by the National Plan & Provider Enumeration System. The contents of Tenn Sm Llc are for informational purposes only.