Mid State Ent, Llc in Hendersonville - Specialist
Mid State Ent, Llc - NPI 1164625828
Mid State Ent, Llc is a Specialist in Hendersonville, Tennessee. Mid State Ent, Llc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mid State Ent, Llc is 1164625828. The last update date is 2020-08-22.
Mid State Ent, Llc's current location address is 107 Glen Oak Blvd, Hendersonville, Tennessee. You can contact this provider via phone number 6158222177 and fax number 6158220300. The mailing address for Mid State Ent, Llc is 107 Glen Oak Blvd, Hendersonville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mid State Ent, Llc |
|---|---|
| Address | 107 Glen Oak Blvd, Hendersonville, Tennessee |
| Phone Number | 6158222177 |
| Fax Number | 6158220300 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CO-OWNER |
|---|---|
| Authorized Official Name | Demoville B Raymond |
| Credentials | M.D. |
| Telephone Number | 6158222177 |
NPI Number Detail
| NPI Number | 1164625828 |
|---|---|
| Provider Enumeration Date | 2007-06-08 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 107 Glen Oak Blvd |
|---|---|
| City | Hendersonville |
| State | Tennessee (TN) |
| Post Code | 37075 |
| Phone Number | 6158222177 |
| Fax Number | 6158220300 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the Mid State Ent, Llc's unique identification number?
The Mid State Ent, Llc has been assigned the NPI (National Provider Identifier) Number 1164625828 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Mid State Ent, Llc is physically located?
The Mid State Ent, Llc is physically situated at the following address: 107 Glen Oak Blvd, Hendersonville, TN, 37075.
What is Mid State Ent, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mid State Ent, Llc's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
When was the Mid State Ent, Llc's 1164625828 issued?
The Mid State Ent, Llc's 1164625828 was issued on 2007-06-08.
As of what date were the Mid State Ent, Llc's details last updated?
The information pertaining to the Mid State Ent, Llc, including its address, specialty, and other details, was most recently updated on 2020-08-22.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC