Individual
SAMUAEL B TAKELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7017 RED APPLE RD, ANTIOCH, TN 37013-4895
(615) 481-2482
Mailing address
7017 RED APPLE RD, ANTIOCH, TN 37013-4895
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
121945606
TN
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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