Organization
WELLSPRING MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESA N ONUH PHARMD (PRESIDENT)
(615) 462-5094
Entity
Organization
Contact information
Practice address
599 SAM RIDLEY PKWY W STE 103, SMYRNA, TN 37167-5646
(615) 462-5094
Mailing address
599 SAM RIDLEY PKWY W STE 103, SMYRNA, TN 37167-5646
(615) 462-5094
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
DMEHS599
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DMEHS599
DMEHS
TN
Enumeration date
04/24/2017
Last updated
10/25/2019
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