Organization
MOBILE MEDICAL CARE
Active
Organization
MOBILE MEDICAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEKONNEN S KIDANE DNP (OWNER/PROVIDER)
(615) 624-1613
Entity
Organization
Contact information
Practice address
2504 CAYER LN, SUITE C, COLUMBIA, TN 38401-7383
(615) 624-1613
Mailing address
PO BOX 210929, NASHVILLE, TN 37221-0929
(615) 624-1613
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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