| NPI | 1730211004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALAN TERRY Owner 865-273-2013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 2427) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2013-09-23 |