Individual
MR. JOHN MADONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1307 BELL RD, SUITE 111, ANTIOCH, TN 37013-3745
(615) 953-3633
(615) 953-3634
Mailing address
1307 BELL RD, SUITE 111, ANTIOCH, TN 37013-3745
(615) 953-3633
(615) 953-3634
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7187
TN
Other
Enumeration date
10/22/2011
Last updated
10/22/2011
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