| NPI | 1578509998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP WILSON BRADLEY President 615-383-2741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2023-08-29 |