Organization Name: | CARESPOT PROFESSIONAL SERVICES OF WEST TENNESSEE PLLC |
NPI Number: | 1083043566 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER MEKO (SOLE OWNER) |
Mailing Address: | 1645 N Germantown Pkwy Cordova |
State: | TN US |
Postal Code: | 380165962 |
Phone Number: | 9018813459 |
Fax Number: | 9016243542 |
NPI Enumeration Date: | 11/05/2013 |
NPI Last Update Date: | 05/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |