Organization
GORDON BEATS EARNHART AGAIN LLC
Active
Other names
O2 for You
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH S HENSLEY (OWNER)
(931) 796-7965
Entity
Organization
Contact information
Practice address
37 N MAPLE ST, HOHENWALD, TN 38462
(931) 796-7965
(931) 796-1176
Mailing address
37 N MAPLE ST, HOHENWALD, TN 38462
(931) 796-7965
(931) 796-1176
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452395
—
TN
01
—
3021176
BLUE CROSS TN
—
Enumeration date
02/23/2006
Last updated
08/22/2020
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