| Makarios Group 5, Inc | |
|
8950 Us Highway 64 Suite 109 Lakeland TN 38002-4566 | |
| (901) 213-0100 | |
| (901) 213-0101 |
| Full Name | Makarios Group 5, Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 8950 Us Highway 64, Lakeland, Tennessee |
| Authorized Official Name and Position | Catherine Hollahan (NURSE PRACTITIONER) |
| Authorized Official Contact | 9012130100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Makarios Group 5, Inc 8950 Us Highway 64 Suite 109 Lakeland TN 38002-4566 Ph: (901) 213-0100 | Makarios Group 5, Inc 8950 Us Highway 64 Suite 109 Lakeland TN 38002-4566 Ph: (901) 213-0100 |
| NPI Number | 1275962763 |
|---|---|
| Provider Enumeration Date | 11/05/2013 |
| Last Update Date | 11/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275962763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Makarios Group 3 Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9160 Us Highway 64 Ste 105, Lakeland, TN 38002 Phone: 901-213-0100 Fax: 901-213-0101 | |
Mid South Med, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9160 Highway 64, Suite 5, Lakeland, TN 38002 Phone: 901-623-3587 Fax: 901-213-9235 |