| NPI | 1134147655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE C JOHNSON Co Owner 615-449-6190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TN 0000001064) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 0000001064) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2010-08-09 |