| NPI | 1780936708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH KREGEL General Manager 865-661-3787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 332b00000x) |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2012-10-15 |