Organization
UDDERLY NUTRITIOUS
Active
Other names
LIBERTY MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK MURPHY (CEO)
(731) 926-4320
Entity
Organization
Contact information
Practice address
348 MAIN ST, SAVANNAH, TN 38372-2051
(731) 926-4320
(731) 926-4332
Mailing address
348 MAIN ST, SAVANNAH, TN 38372-2051
(731) 926-4320
(731) 926-4332
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0000000835
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02985814
MISSISSIPPI MEDICAD NUMBE
MS
05
—
1454473
—
TN
01
—
156084
BETTER HEALTH PROVIDER NU
TN
01
—
4085270
BCBS OF TN PROVIDER NUMBE
TN
Enumeration date
07/12/2006
Last updated
11/24/2007
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