PRODIGAL PRIMARY CARE PC

KNOXVILLE, TN
NPI1740534049
Entity TypeOrganization
Authorized ContactDAVID E BRICKHOUSE
Pa
865-288-3754
Organization Subpart ?No
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2012-11-08
Last Update Date2013-11-01
Business Address
PRODIGAL PRIMARY CARE PC
901 MERCHANT DR
KNOXVILLE, TN 37912-3862
Phone number: 865-474-1053
Mailing Address
PRODIGAL PRIMARY CARE PC
2911 ESSARY DR
KNOXVILLE, TN 37918-2468
Phone number: 865-288-3754
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