Mobile Medical Care
Nurse Practitioner, Adult Health in Columbia, TN. Organization (NPI-2).
NPI number1396169587
StatusActive
Last updated in NPPESFeb 10, 2014
Details
- NPI
- 1396169587
- Entity type
- Organization (NPI-2)
- Legal business name
- Mobile Medical Care
- Organization subpart
- No
- Enumeration date
- Feb 10, 2014
- Last updated
- Feb 10, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | – | – | Yes |
Practice location
2504 Cayer LnSuite C
Columbia, TN 38401-7383
Phone 615-624-1613
Mailing address
Po Box 210929Nashville, TN 37221-0929
Phone 615-624-1613
Authorized official
Mekonnen S Kidane
Owner/Provider
6156241613
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