| NPI | 1215720990 |
|---|---|
| Other Name | ERLANGER PLASTIC AND RECONSTRUCTIVE SURGERY DMEPOS |
| Entity Type | Organization |
| Authorized Contact | MIKE DALE SHAVER Director Of Reimbursement 423-778-4712 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-05-27 |
| Last Update Date | 2025-05-27 |