Organization Name: | MH HEALTH CARE SERVICES, PC |
NPI Number: | 1346654449 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NANCY CARLSON (PRESIDENT) |
Mailing Address: | 620 E 11th St C/o City Of Chattanooga Employee Health Center Chattanooga |
State: | TN US |
Postal Code: | 374033101 |
Phone Number: | 4236437970 |
Fax Number: | |
NPI Enumeration Date: | 06/17/2014 |
NPI Last Update Date: | 06/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 042-0008079 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |