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Organization
UNIVITA OF TENNESSEE, INC.
Active
Organization
UNIVITA OF TENNESSEE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS D BRYD ESQ (GENERAL COUNSEL)
(754) 777-5321
Entity
Organization
Contact information
Practice address
3716 E STONE DR, KINGSPORT, TN 37660-7112
(423) 392-9900
(423) 392-9922
Mailing address
3716 E STONE DR, KINGSPORT, TN 37660-7112
(423) 392-9900
(423) 392-9922
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
0000000510
TN
Other
Enumeration date
03/26/2007
Last updated
05/12/2015
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