Petre-Jo LLC

NPI #1063876076 in Madison, Tennessee

Provider Information

NPI Number
1063876076
Entity Type
Organization
Organization Name
Petre-Jo LLC
Subpart
Yes (part of a larger organization)
Parent Organization
PETRE-JO LLC
Primary Specialty
Preferred Provider Organization
Enumeration Date
Apr 6, 2016
Last Updated
Apr 6, 2016

Practice Location

Address
607 W DUE WEST AVE STE 95
ZIP Code
37115-4415
Phone
(615) 982-8081

Authorized Official

Name
PETER KONECNY
Title
MANAGING MEMBER
Phone
(931) 761-0410

Specialties & Taxonomy Codes

Specialty
Preferred Provider Organization

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