Healthcare Provider Details

I. General information

NPI: 1083043566
Provider Name (Legal Business Name): CARESPOT PROFESSIONAL SERVICES OF WEST TENNESSEE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2013
Last Update Date: 05/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1645 N GERMANTOWN PKWY
CORDOVA TN
38016-5962
US

IV. Provider business mailing address

115 EASTPARK DR SUITE 300
BRENTWOOD TN
37027-7548
US

V. Phone/Fax

Practice location:
  • Phone: 901-881-3459
  • Fax: 901-624-3542
Mailing address:
  • Phone: 615-600-4075
  • Fax: 615-309-4624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: JENNIFER MEKO
Title or Position: SOLE OWNER
Credential: M.D.
Phone: 615-600-4075