Provider Demographics
NPI:1083043566
Name:CARESPOT PROFESSIONAL SERVICES OF WEST TENNESSEE PLLC
Entity Type:Organization
Organization Name:CARESPOT PROFESSIONAL SERVICES OF WEST TENNESSEE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:MEKO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-600-4075
Mailing Address - Street 1:115 EASTPARK DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-7548
Mailing Address - Country:US
Mailing Address - Phone:615-600-4075
Mailing Address - Fax:615-309-4624
Practice Address - Street 1:1645 N GERMANTOWN PKWY
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38016-5962
Practice Address - Country:US
Practice Address - Phone:901-881-3459
Practice Address - Fax:901-624-3542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-05
Last Update Date:2015-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care