Organization
TRI-CITY MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN E LOCKE (OWNER)
(901) 837-9989
Entity
Organization
Contact information
Practice address
58 DOCTORS DR, MUNFORD, TN 38058-6301
(901) 837-9989
(901) 837-9982
Mailing address
58 DOCTORS DR, MUNFORD, TN 38058-6301
(901) 837-9989
(901) 837-9982
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07254065
—
MS
05
—
154886716
—
AR
Enumeration date
08/23/2006
Last updated
11/20/2008
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