Organization
TENNESSEE BRACE AND MEDICAL SERVICES LLC
Active
Other names
TENNESSEE BRACE AND MEDICAL SERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTY JO BROWN (DIRECTOR OF OPERATION)
(931) 438-2777
Entity
Organization
Contact information
Practice address
118 SHELBYVILLE HWY, FAYETTEVILLE, TN 37334-7128
(931) 438-2777
(931) 438-2778
Mailing address
118 SHELBYVILLE HWY, FAYETTEVILLE, TN 37334-7128
(931) 438-2777
(931) 438-2778
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0000000652
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454107
—
TN
01
—
3163024
BCBS OF TENNESSEE/TENNCAR
TN
Enumeration date
10/26/2005
Last updated
12/29/2016
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