Provider Demographics
NPI:1881255610
Name:NG HOLDINGS
Entity type:Organization
Organization Name:NG HOLDINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:M
Authorized Official - Last Name:BARROM
Authorized Official - Suffix:
Authorized Official - Credentials:ACNP
Authorized Official - Phone:901-244-6631
Mailing Address - Street 1:7424 HWY 64, SUITE 118
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38133
Mailing Address - Country:US
Mailing Address - Phone:901-244-6631
Mailing Address - Fax:901-244-6573
Practice Address - Street 1:7424 HWY 64, SUITE 118
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38133
Practice Address - Country:US
Practice Address - Phone:901-244-6631
Practice Address - Fax:901-244-6573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-24
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty