| NPI | 1306086277 |
|---|---|
| Doing Business As | PROFESSIONAL DRIVERS MEDICAL DEPOT |
| Entity Type | Organization |
| Authorized Contact | MIKE CRABTREE CEO 865-531-1542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN 4903535) |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2009-03-04 |