| NPI | 1912912627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS SEAN GUY D Irector 423-478-7433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 0000000867) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-08-22 |