Petre-Jo LLC
Petre-Jo LLC is a Preferred Provider Organization in Madison, Tennessee. Licensed in Tennessee. Registered with an NPI since 2016.
- Licensed in
- TN
- In the registry since
- 2016
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
607 W Due West Ave Ste 95Madison, TN 37115-4415
Phone: (615) 982-8081
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence L000000017166 (TN) |
|---|
Record details
| NPI number | 1063876076 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Petre-Jo LLC |
| Authorized official | Peter Konecny — Managing Member · (931) 761-0410 |
| NPI enumerated | April 6, 2016 |
| Last updated in NPPES | April 6, 2016 |
| Mailing address | 858 Harbour Greens Pl, Sparta, TN 38583-4294 |