MTN Orthoxpress Holdings, LLC
Organization Active NPI Sports Medicine (Orthopaedic Surgery) Physician · Atoka, TN
NPI 1376279463 · NPPES record last updated Jun 10, 2024
Key facts
- NPI
- 1376279463
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X
- Legal business name
- MTN ORTHOXPRESS HOLDINGS, LLC
- Practice address
- 11645 Highway 51 S Ste 103
Atoka, TN 38004-2001 - Phone
- (901) 407-2221
- Fax
- (901) 407-2300
- NPI assigned
- Jul 29, 2022
- Organization subpart
- No
Authorized official
- Name
- Jennifer C Bullock
- Title
- President
- Phone
- (662) 534-2227
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician |
207XX0005X | Yes | ||
| Medical Physician Assistant |
363AM0700X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
11645 Highway 51 S Ste 103
Atoka, TN 38004-2001
Mailing address
206 Oxford Rd
New Albany, MS 38652-3115
Phone (662) 534-2227
Other practice location 1
6515 Poplar Ave Ste 106
Memphis, TN 38119-4878
Phone (901) 426-1090
Other providers in Atoka, TN
- Mid-South Foot and Ankle Specialists, PLLC
- Mid-South Physical Therapy, Inc.
- Steven Andrew Miller
- MSK Group, PC
- MSK Group, PC
- Myeyedr Optometry of Tennessee, LLC
- Linda Denise Neeley
- Ortho Express Holding Company, LLC
- Elizabeth Marie Otasowie
- Paula R Pairmore
All providers in Atoka, TN · Sports Medicine (Orthopaedic Surgery) Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.