| NPI | 1558651612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN SCOTT SWANN Office Manager 423-893-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: TN DC0000001495) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2011-04-11 |