Provider Demographics
NPI:1033516661
Name:TOTS 2 TEENS LLC
Entity type:Organization
Organization Name:TOTS 2 TEENS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMER
Authorized Official - Middle Name:
Authorized Official - Last Name:LOLEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:931-685-8787
Mailing Address - Street 1:268 VETERANS PKWY
Mailing Address - Street 2:SUITE F
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37128-6431
Mailing Address - Country:US
Mailing Address - Phone:931-685-8787
Mailing Address - Fax:931-685-8786
Practice Address - Street 1:268 VETERANS PKWY
Practice Address - Street 2:SUITE F
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37128-6431
Practice Address - Country:US
Practice Address - Phone:931-685-8787
Practice Address - Fax:931-685-8786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-25
Last Update Date:2014-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN37838208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty