Organization
TMK ENTERPRISES
Active
Other names
Southern Grace Psychiatry, TMK Enterprises, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA KENDRICK PMHNP (GENERAL PARTNER)
(662) 372-3495
Entity
Organization
Contact information
Practice address
5699 GETWELL RD BLDG F4, SOUTHAVEN, MS 38672-7311
(662) 372-3495
Mailing address
PO BOX 588, NESBIT, MS 38651-0588
(901) 831-2345
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/24/2020
Last updated
07/08/2021
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