Individual
ANTASIR F HADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
903, LAVERGNE LN, LAVERGNE LN, LA VERGNE, TN 37086
(615) 424-0687
Mailing address
903, LAVERGNE LN, LAVERGNE LN, LA VERGNE, TN 37086
(615) 424-0687
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285413104
NON-EMERGENCY MEDICAL TRANSPORTATION
TN
Enumeration date
09/28/2023
Last updated
10/06/2023
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