Provider Demographics
NPI:1669918843
Name:ALL ABOUT YOU HEALTHCARE LLC
Entity type:Organization
Organization Name:ALL ABOUT YOU HEALTHCARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/NURSE PRACTITIONER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:EDDINGS
Authorized Official - Suffix:SR
Authorized Official - Credentials:FNP
Authorized Official - Phone:615-477-7917
Mailing Address - Street 1:342 E OLD HICKORY BLVD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:TN
Mailing Address - Zip Code:37115-3937
Mailing Address - Country:US
Mailing Address - Phone:615-477-7917
Mailing Address - Fax:
Practice Address - Street 1:106 E DUE WEST AVE
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:TN
Practice Address - Zip Code:37115-5202
Practice Address - Country:US
Practice Address - Phone:615-477-7917
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-12
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN189928261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care