Organization
CCC MEDICAL EQUIPMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY L DEDMON II (OWNER)
(731) 584-7919
Entity
Organization
Contact information
Practice address
115 VICKSBURG AVE, CAMDEN, TN 38320-1613
(731) 584-7919
(731) 584-7920
Mailing address
115 VICKSBURG AVENUE, CAMDEN, TN 38320-1636
(731) 584-7919
(731) 584-7920
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
00878
TN
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
878
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1455003
—
TN
Enumeration date
06/05/2006
Last updated
02/09/2018
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