Organization
MOD HOLISTICS PLLC
Active
Organization
MOD HOLISTICS PLLC
Active
Other names
Mood Oasis PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA JOHNSON NP (CEO)
(901) 341-7200
Entity
Organization
Contact information
Practice address
758 WALNUT KNOLL LN STE 201, CORDOVA, TN 38018-3112
(901) 341-7200
(901) 545-3200
Mailing address
758 WALNUT KNOLL LN STE 201, CORDOVA, TN 38018-3112
(901) 341-7200
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/02/2024
Last updated
10/09/2024
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