| NPI | 1063669448 |
|---|---|
| Doing Business As | MED-SOURCE |
| Entity Type | Organization |
| Authorized Contact | LAURIE BOWLING Owner/ President 615-890-0928 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TN 951) |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2009-09-21 |