# ANTOVIA HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184529133
- **Authorized official:** SHANIKA R BROWN CPT, CCMA (MANAGING MEMBER)
- **Authorized official phone:** (731) 267-2123

## Contact information

- **Practice address:** 118 N LIBERTY ST, JACKSON, TN 38301-6221
- **Practice address phone:** (731) 224-2877
- **Mailing address:** 118 N LIBERTY ST, JACKSON, TN 38301-6221
- **Mailing address phone:** (731) 224-2877

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 10/10/2026
- **Last updated:** 10/10/2026