Healthcare Provider Details
I. General information
NPI: 1659305993
Provider Name (Legal Business Name): MEDICAL NECESSITIES, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/11/2006
Last Update Date: 06/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
607 W DUE WEST AVE SUITE 113
MADISON TN
37115-4431
US
IV. Provider business mailing address
607 W DUE WEST AVE SUITE 113
MADISON TN
37115-4431
US
V. Phone/Fax
- Phone: 615-865-6269
- Fax: 615-865-4169
- Phone: 615-865-6269
- Fax: 615-865-4169
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VG0400X |
| Taxonomy | Gynecology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208VP0000X |
| Taxonomy | Pain Medicine Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
PAMELA
GARDNER
Title or Position: PARTNER
Credential:
Phone: 615-865-6269