| NPI | 1457522237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM C MCMILLIN O PT Ometrist 423-239-5491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 621039107) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2018-06-16 |