Organization
PREFERRED OXYGEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY TAYLOR (OWNER/PRESIDENT)
(423) 338-7377
Entity
Organization
Contact information
Practice address
134 CREEKSIDE DR., SUITE #2, OCOEE, TN 37361
(423) 338-7377
Mailing address
PO BOX 739, BENTON, TN 37307-0739
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
733
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454255
—
TN
01
—
40534447
BLUECROSS/BLUESHEILD
TN
Enumeration date
08/01/2006
Last updated
08/22/2020
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