Organization
SPECIALTY MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NINA ELENA LEMING (OWNER/PARTNER)
(865) 560-8889
Entity
Organization
Contact information
Practice address
7815 B OAK RIDGE HWY, KNOXVILLE, TN 37931-2314
(030) 720-0899
(865) 560-8862
Mailing address
7815 B OAK RIDGE HWY, KNOXVILLE, TN 37931-2314
(865) 560-8889
(865) 560-8862
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1455072
—
TN
01
—
4124497
DMEPOS/ BCBS
TN
Enumeration date
10/05/2006
Last updated
07/31/2008
Update your record
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