| NPI | 1629932389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARI WIDDIFIELD Practice Administrator 423-339-9581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-12-16 |
| Last Update Date | 2025-12-16 |