Organization
THE NOWELL CORPORATION
Active
Other names
BEFITTING YOU MASTECTOMY BOUTIQUE UT
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHASTITY R THOMASON C.PHT, CFO (MEDICAL BILLING/DME SUPERVISOR)
(865) 988-0000
Entity
Organization
Contact information
Practice address
1926 ALCOA HWY, SUITE 110, KNOXVILLE, TN 37920-1512
(865) 544-6468
(865) 544-6155
Mailing address
721 HIGHWAY 321 N, LENOIR CITY, TN 37771-5003
(865) 988-0000
(865) 986-1542
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
699
TN
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4088617
BLUE CROSS BLUE SHIELD
TN
01
—
702008365
CARITEN
TN
Enumeration date
07/10/2006
Last updated
10/01/2012
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