| NPI | 1235443185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL STEVE KILGORE President 423-915-5184 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TN 468) |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2012-05-11 |