Organization Name: | ONE STOP MEDICAL, L.L.C. |
NPI Number: | 1053548487 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TAD METHVIN (OWNER) |
Mailing Address: | 325 Geri St Suite A Lawrenceburg |
State: | TN US |
Postal Code: | 384642392 |
Phone Number: | 9317629797 |
Fax Number: | |
NPI Enumeration Date: | 06/11/2009 |
NPI Last Update Date: | 07/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |