| NPI | 1568715779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMIE HIGHSMITH Office Manager 423-893-3363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: TN DC0000001495) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2013-01-03 |