Organization Name: | REDI-MED PLUS |
NPI Number: | 1821339003 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TINA MARIE FOX (NP/OWNER) |
Mailing Address: | 1153 Candies Creek Rd Mc Donald |
State: | TN US |
Postal Code: | 373535544 |
Phone Number: | 4237157893 |
Fax Number: | 4234731951 |
NPI Enumeration Date: | 03/12/2013 |
NPI Last Update Date: | 03/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | APN0000013774 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |