| NPI | 1639405483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA M GARRISON Credentials COO Rdinator 865-584-2127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN MD016011) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN MD021400) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN MD0034217) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN MD0008625) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN MD029986) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN OD001240) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN OD002250) | |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2019-06-25 |