| NPI | 1184872210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN MCPETERS Manager 423-702-6230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2018-03-30 |