NPI | 1184251795 |
---|---|
Doing Business As | TMK ENTERPRISES, LLC |
Doing Business As | SOUTHERN GRACE PSYCHIATRY |
Entity Type | Organization |
Authorized Contact | TERESA KENDRICK General Partner 662-372-3495 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2020-03-24 |
Last Update Date | 2021-07-08 |