Organization
P. STARK ENTERPRISES, INC.
Active
Parent organization
P. STARK ENTERPRISES, INC.
Other names
ProTech Medical
Organization subpart
Yes
Provider details
NPI number
Legal business name
P. STARK ENTERPRISES, INC.
Authorized official
MR. PRESTON A STARK (OWNER)
(931) 388-3766
Entity
Organization
Contact information
Practice address
1100 HATCHER LN, COLUMBIA, TN 38401-3530
(931) 388-3766
Mailing address
1100 HATCHER LN, COLUMBIA, TN 38401-3530
(931) 388-3766
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0000000405
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454165
—
TN
Enumeration date
05/11/2006
Last updated
03/10/2008
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