Organization
VOLUNTEER MEDICAL DEVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOEL BAKER BRITTANY RODRIGUEZ (LICENSING SPECIALIST)
(813) 563-8500
Entity
Organization
Contact information
Practice address
3209 HIGHWAY 126, BLOUNTVILLE, TN 37617-4520
(423) 354-0100
(423) 212-0704
Mailing address
3209 HIGHWAY 126, BLOUNTVILLE, TN 37617-4520
(423) 354-0100
(423) 212-0704
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/01/2015
Last updated
05/01/2015
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