Organization
STAR MEDICAL SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAQUEL CELINE BENAVIDEZ (OWNER)
(423) 771-7808
Entity
Organization
Contact information
Practice address
6802 RINGGOLD RD STE 105, EAST RIDGE, TN 37412-4256
(423) 771-7808
Mailing address
6802 RINGGOLD RD STE 105, EAST RIDGE, TN 37412-4256
(423) 771-7808
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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