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Organization

THEURAPEUTICS

Active
Other names
Therapeutics L.M.T
Organization subpart
No

Provider details

NPI number
Authorized official
TANIKA GILLARD (OWNER/OPERATOR)
(731) 616-7601
Entity
Organization

Contact information

Practice address
4 N HAMPTON LN, JACKSON, TN 38305-3924
(731) 616-7601
Mailing address
200 STONEBRIDGE BLVD, JACKSON, TN 38305-6028
(731) 616-7601

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
6345
TN

Other

Enumeration date
07/26/2017
Last updated
07/21/2022
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