P-72

NPI #1306627609 in Mt Juliet, Tennessee

Provider Information

NPI Number: 1306627609
Entity Type: Organization
Organization Name: P-72
Primary Specialty: Taxi
Enumeration Date: Oct 12, 2023
Last Updated: Oct 12, 2023

Practice Location

Address: 5878 STEWARTS FERRY PIKE # P72
City: Mt Juliet
State: Tennessee
ZIP Code: 37122-4227
Phone: (615) 289-6216

Authorized Official

Name: MICHAEL K HENDERLIGHT, AEMT
Title: OWNER
Phone: (615) 289-6216

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Taxi	344600000X	Primary

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