Organization
CHANDLER SCOTT EDWARDS
Active
Other names
OxyCare
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HOLLY BETH STALLSMITH (GENERAL MANAGER CEO)
(423) 798-8021
Entity
Organization
Contact information
Practice address
1758 E ANDREW JOHNSON HWY, GREENEVILLE, TN 37745-4278
(423) 798-8021
(423) 798-8023
Mailing address
1758 E ANDREW JOHNSON HWY, GREENEVILLE, TN 37745-4278
(423) 798-8021
(423) 798-8023
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
APPLIED FOR 11-22-06
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1455162
—
TN
01
—
4159565
BLUECROSS BLUESHIELD
TN
Enumeration date
11/22/2006
Last updated
05/26/2009
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