| NPI | 1215016522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE G. MIDGETT Director, Provider Support Services 615-936-0471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| 332H00000X Eyewear Supplier | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2018-06-21 |