Healthcare Provider Details

I. General information

NPI: 1104331420
Provider Name (Legal Business Name): TNT MEDICAL ENTERPRISES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2017
Last Update Date: 12/08/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 MAGNOLIA VALE DR
CHATTANOOGA TN
37419-2185
US

IV. Provider business mailing address

609 MAGNOLIA VALE DR
CHATTANOOGA TN
37419-2185
US

V. Phone/Fax

Practice location:
  • Phone: 423-987-3702
  • Fax: 423-825-1992
Mailing address:
  • Phone: 423-987-3702
  • Fax: 423-825-1992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: TERRI JONES
Title or Position: OWNER/MEDICAL DOCTOR
Credential: MD
Phone: 423-987-3702