| NPI | 1457515496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUDLEY BOSTIC Owner 865-457-2341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 0000002331) |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2008-07-17 |