Organization
P-72
Active
Organization
P-72
Active
Other names
Portect 72
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL K HENDERLIGHT AEMT (OWNER)
(615) 289-6216
Entity
Organization
Contact information
Practice address
5878 STEWARTS FERRY PIKE # P72, MT JULIET, TN 37122-4227
(615) 289-6216
(615) 547-2299
Mailing address
5878 STEWARTS FERRY PIKE # P72, MT JULIET, TN 37122-4227
(615) 289-6216
(615) 547-2299
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
—
—
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
Update your record
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