| NPI | 1972561066 |
|---|---|
| Former Legal Business Name | MEDICAL MART |
| Entity Type | Organization |
| Authorized Contact | JASON JOHN HAMES Vice President 865-380-0819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 0000000691) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2020-08-22 |