Provider Demographics
NPI:1346582517
Name:CARESPOT OF MT. JULIET (S. MT. JULIET ROAD), LLC
Entity Type:Organization
Organization Name:CARESPOT OF MT. JULIET (S. MT. JULIET ROAD), LLC
Other - Org Name:CARENOW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AVP REVENUE CYCLE URGENT CARE
Authorized Official - Prefix:MRS
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-906-8162
Mailing Address - Street 1:PO BOX 742588
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-2588
Mailing Address - Country:US
Mailing Address - Phone:972-745-7500
Mailing Address - Fax:972-745-4336
Practice Address - Street 1:669 S MOUNT JULIET RD
Practice Address - Street 2:
Practice Address - City:MOUNT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-6483
Practice Address - Country:US
Practice Address - Phone:615-541-4545
Practice Address - Fax:615-758-9648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-26
Last Update Date:2017-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty