Male or Other

Johnny Baxter

Non-emergency Medical Transport (VAN) in Murfreesboro, TN(View on Map)

Full Name

Johnny Baxter

NPI Number

1679029763

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/29/2016

Specialties

(Taxonomies)

Code

343900000X
344600000X

Primary Taxonomy

Yes
No

Licenses

State

Tennessee

License Number

0547685

Contact
Information

Purpose

Mailing
Location

Address

11661 BRADYVILLE PIKE
2230 SOUTHGATE BLVD STE B

City

Readyville
Murfreesboro

State

TN
TN

Postal Code

37149-4517
37128-5509

Country

US
US

Telephone Number

(615) 848-2700
(615) 848-2700

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/29/2016

Provider Address

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