| NPI | 1144456047 |
|---|---|
| Former Legal Business Name | PEACHTREE MEDICAL OF TENNESSEE |
| Entity Type | Organization |
| Authorized Contact | ADAM DOUGLAS WELLINGTON CEO/President 423-547-3224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2010-08-04 |