Organization
HEALTH AND WELLNESS, ENDOCRINOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TABITHA L MONDRAGE (SECRETARY/TREASURER)
(615) 481-0283
Entity
Organization
Contact information
Practice address
1097 WESTON DR, SUITE B, MT JULIET, TN 37122-3493
(615) 553-5002
Mailing address
329 21ST AVE N, SUITE 1, NASHVILLE, TN 37203-1839
(615) 553-5002
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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