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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
About Stedi
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Product
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  • EDI platform