Organization
MMS KNOXVILLE INC
Active
Other names
MED OF TENNESSEE
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SABRINA HAHN (COMPLIANCE OFFICER)
(865) 584-5501
Entity
Organization
Contact information
Practice address
400 CHICKAMAUGA RD # A, CHATTANOOGA, TN 37421-5166
(423) 954-1123
(423) 954-1272
Mailing address
5210 S MIDDLEBROOK PIKE, KNOXVILLE, TN 37921-5972
(865) 584-5501
(865) 584-5560
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
70414
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00768941A
—
GA
05
—
1452105
—
TN
Enumeration date
10/23/2006
Last updated
05/19/2008
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