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NPI Code Detail

MEDICARE: TNTS ENTERPRISE, LLC

MEDICARE: TNTS ENTERPRISE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1053547265
Entity Type Code : Organization
Provider Name (Legal Business Name) : TNTS ENTERPRISE, LLC
Provider Business Mailing Address
First Line : 1411 WRENWOOD CT
Second Line :
City : GREENSBORO
State : NC
Zip : 27455-9211
Country : US
Telephone Number : 336-254-2210
Fax Number :
Provider Business Practice Location Address
First Line : 1411 WRENWOOD CT
Second Line :
City : GREENSBORO
State : NC
Zip : 27455-9211
Country : US
Telephone Number : 336-254-2210
Fax Number :
Authorized Official
Title or Position : CO-OWNER
Name : MRS. TONYA M THOMPSON
Credential :
Telephone Number : 336-254-2210
Provider Enumeration Date : 06/02/2009
Last Update Date : 06/02/2009

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Directions to “TNTS ENTERPRISE, LLC ” Practice Location

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