Organization
PHYSICIAN SERVICES GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE G FAULKNER (CHIEF OPERATIONS OFFICER)
(423) 332-5155
Entity
Organization
Contact information
Practice address
8118 CORPORATE WAY, SUITE 110, MASON, OH 45040-7350
(513) 229-0872
(513) 229-5322
Mailing address
9736 DAYTON PIKE, SUITE A, SODDY DAISY, TN 37379-4727
(423) 332-5155
(423) 332-5195
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
02/03/2013
Last updated
02/03/2013
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