| NPI | 1700032786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW ALLEN TARRANT Owner 865-803-8253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 0187904) |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2008-08-11 |