Provider Demographics
NPI: | 1699367367 |
---|---|
Name: | TN HEALTH SOLUTIONS |
Entity type: | Organization |
Organization Name: | TN HEALTH SOLUTIONS |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | PAULA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | RICHARDSON |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 678-578-8449 |
Mailing Address - Street 1: | 4525 FLAT SHOALS PKWY |
Mailing Address - Street 2: | |
Mailing Address - City: | DECATUR |
Mailing Address - State: | GA |
Mailing Address - Zip Code: | 30034-5038 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 678-578-8449 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 4525 FLAT SHOALS PKWY STE 401 |
Practice Address - Street 2: | |
Practice Address - City: | DECATUR |
Practice Address - State: | GA |
Practice Address - Zip Code: | 30034-5038 |
Practice Address - Country: | US |
Practice Address - Phone: | 678-578-8449 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2021-02-04 |
Last Update Date: | 2021-03-23 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | Group - Single Specialty |
No | 291U00000X | Laboratories | Clinical Medical Laboratory |