| NPI | 1639262330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA A SCOTT Manager 423-877-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 3038) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2010-01-21 |