Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
P-72
Active OrganizationP-72 is a Van Provider organization located in MT JULIET, Tennessee. NPI 1306627609 is currently active in the NPPES registry. Verify at CMS.
Van Provider · MT JULIET, TN
Registration Details
- NPI Number
- 1306627609
- Provider Type
- Organization
- NPI Issued
- Oct 12, 2023 (2.8410511352562 yrs)
- Last Updated
- Oct 12, 2023
Practice Information
- Address
-
5878 STEWARTS FERRY PIKE # P72MT JULIET, TN, 371224227Browse TN providers · Browse ZIP 37122
- Phone
- 6152896216
- Fax
- 6155472299
- Primary Specialty
-
Van Provider
344600000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.