| NPI | 1407138381 |
|---|---|
| Doing Business As | TENNESSEE MEDPORT |
| Entity Type | Organization |
| Authorized Contact | BRENDA RUSSELL BODEMANN Principal 865-414-2779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-15 |