Provider Demographics
NPI:1689972978
Name:TRATSC LLC
Entity Type:Organization
Organization Name:TRATSC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:VANCE
Authorized Official - Last Name:SHAPPLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:901-759-0101
Mailing Address - Street 1:7705 POPLAR AVE
Mailing Address - Street 2:310 B
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-3930
Mailing Address - Country:US
Mailing Address - Phone:901-759-0101
Mailing Address - Fax:
Practice Address - Street 1:7705 POPLAR AVE
Practice Address - Street 2:310 B
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-3930
Practice Address - Country:US
Practice Address - Phone:901-759-0101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE SHAPPLEY CLINIC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-03-10
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center