Provider Demographics
NPI:1104331420
Name:TNT MEDICAL ENTERPRISES, LLC
Entity type:Organization
Organization Name:TNT MEDICAL ENTERPRISES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEDICAL DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:423-987-3702
Mailing Address - Street 1:609 MAGNOLIA VALE DR
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37419-2185
Mailing Address - Country:US
Mailing Address - Phone:423-987-3702
Mailing Address - Fax:423-825-1992
Practice Address - Street 1:609 MAGNOLIA VALE DR
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37419-2185
Practice Address - Country:US
Practice Address - Phone:423-987-3702
Practice Address - Fax:423-825-1992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-08
Last Update Date:2017-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty