| NPI | 1427534890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH WAYNE WILSON President 865-274-1040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 000881332) |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2018-07-18 |