| NPI | 1770158859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINGER REECE Director Of Operations 423-328-0163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2022-07-14 |