| NPI | 1104473693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY N BALL President 423-648-8480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2019-08-20 |