Organization
ADVANCED MEDICAL SOLUTIONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN KOLAKOWSKI (PRESIDENT)
(731) 668-8802
Entity
Organization
Contact information
Practice address
623 OLD HICKORY BLVD, STE G, JACKSON, TN 38305-2906
(731) 668-8802
(731) 660-4802
Mailing address
623 OLD HICKORY BLVD STE G, STE G, JACKSON, TN 38305-2985
(731) 668-8802
(731) 660-4802
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
4609761
TN
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454202
—
TN
Enumeration date
12/07/2006
Last updated
11/11/2024
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