Organization
MAKARIOS GROUP 5, INC
Active
Other names
New Life Testosterone Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHERINE HOLLAHAN ACNP (NURSE PRACTITIONER)
(901) 213-0100
Entity
Organization
Contact information
Practice address
8950 US HIGHWAY 64, SUITE 109, LAKELAND, TN 38002-4566
(901) 213-0100
(901) 213-0101
Mailing address
8950 US HIGHWAY 64, SUITE 109, LAKELAND, TN 38002-4566
(901) 213-0100
(901) 213-0101
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/05/2013
Last updated
11/07/2013
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