Organization
MAKARIOS GROUP 3 LLC
Active
Other names
New Life Medical Center, New Life Mens Health
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY LONG (MANAGER)
(901) 213-0100
Entity
Organization
Contact information
Practice address
9160 US HIGHWAY 64 STE 105, LAKELAND, TN 38002-3011
(901) 213-0100
(901) 213-0101
Mailing address
9160 US HIGHWAY 64 STE 105, LAKELAND, TN 38002-3011
(901) 213-0100
(901) 213-0101
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/06/2014
Last updated
06/27/2022
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