Organization
TENNESSEE MEDIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELMOEIZ ELFAKI (OWNER)
(161) 587-0254
Entity
Organization
Contact information
Practice address
325 PLUS PARK BLVD STE 208, NASHVILLE, TN 37217-1092
(615) 870-2545
Mailing address
325 PLUS PARK BLVD STE 208, NASHVILLE, TN 37217-1092
(615) 870-2545
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
203266
TN
343900000X
Non-emergency Medical Transport (VAN)
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—
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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