Organization
CARENATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GAW (FOUNDER/CEO)
(615) 739-3371
Entity
Organization
Contact information
Practice address
304 W CHURCH ST, LEWISBURG, TN 37091-2730
(615) 216-4876
Mailing address
5655 GRANNY WHITE PIKE, BRENTWOOD, TN 37027-4101
(615) 216-4876
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0002X
Clinic Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
Primary
—
—
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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