Organization
TRINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN RENEAU (MANAGER)
(901) 361-2812
Entity
Organization
Contact information
Practice address
420 S GERMANTOWN PKWY, SUITE 112, CORDOVA, TN 38018-4387
(901) 682-1234
Mailing address
1755 HIGHWAY 311, HOLLY SPRINGS, MS 38635-9717
(662) 551-0189
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
19630
TN
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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