Organization
T &T INC
Active
Other names
monticello medical supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARTER WAYNE TUCKER B.A. (PRESIDENT)
(606) 348-8948
Entity
Organization
Contact information
Practice address
1293 N MAIN ST, SUITE 142, MONTICELLO, KY 42633-1945
(606) 348-8948
(606) 340-0738
Mailing address
PO BOX 609, MONTICELLO, KY 42633-0609
(606) 348-8948
(606) 340-0738
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90008780
—
KY
Enumeration date
12/29/2006
Last updated
05/08/2008
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