| 1977 Mesk Llc | |
|
2900 Oakland Dr Nw Cleveland TN 37312-5278 | |
| (315) 569-5318 | |
| Not Available |
| Full Name | 1977 Mesk Llc |
|---|---|
| Speciality | Registered Nurse - Wound Care |
| Location | 2900 Oakland Dr Nw, Cleveland, Tennessee |
| Authorized Official Name and Position | Erica Vallee (ADMINISTRATOR) |
| Authorized Official Contact | 4073053791 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 1977 Mesk Llc 2900 Oakland Dr Nw Cleveland TN 37312-5278 Ph: () - | 1977 Mesk Llc 2900 Oakland Dr Nw Cleveland TN 37312-5278 Ph: (315) 569-5318 |
| NPI Number | 1083593073 |
|---|---|
| Provider Enumeration Date | 09/02/2025 |
| Last Update Date | 09/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083593073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 163WW0000X | Registered Nurse - Wound Care | (* (Not Available)) | Primary |
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