PRODIGAL PRIMARY CARE

KNOXVILLE, TN
NPI1407295587
Entity TypeOrganization
Authorized ContactDAVID E BRICKHOUSE
Pa
865-288-3754
Organization Subpart ?No
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2013-06-21
Last Update Date2013-06-21
Business Address
PRODIGAL PRIMARY CARE
9221 MIDDLEBROOK PIKE SUITE 102
KNOXVILLE, TN 37931-4764
Phone number: 865-288-3754
Mailing Address
PRODIGAL PRIMARY CARE
2911 ESSARY DR
KNOXVILLE, TN 37918-2468
Phone number: 865-288-3754
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