Organization
MJM GTT SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMESHA LASHA BONNER (RN)
(205) 331-7802
Entity
Organization
Contact information
Practice address
605 41ST ST STE D-3, TUSCALOOSA, AL 35405-3700
(205) 331-7802
Mailing address
605 41ST ST STE D-3, TUSCALOOSA, AL 35405-3700
(205) 331-7802
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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