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1740534049
PRODIGAL PRIMARY CARE PC
KNOXVILLE, TN
NPI
1740534049
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Entity Type
Organization
Authorized Contact
DAVID E BRICKHOUSE
Pa
865-288-3754
Organization Subpart ?
No
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date
2012-11-08
Last Update Date
2013-11-01
Business Address
PRODIGAL PRIMARY CARE PC
901 MERCHANT DR
KNOXVILLE, TN 37912-3862
Phone number: 865-474-1053
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Mailing Address
PRODIGAL PRIMARY CARE PC
2911 ESSARY DR
KNOXVILLE, TN 37918-2468
Phone number: 865-288-3754
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