| NPI | 1184892259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER BENVENUTO Doctor/Owner 901-382-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN OD 555 T) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2008-06-30 |