Organization
PETERSON MOBILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT PETERSON (CEO OWNER)
(865) 621-9663
Entity
Organization
Contact information
Practice address
103 1ST ST, SUITE B, KINGSTON, TN 37763-2712
(865) 621-9663
Mailing address
103 1ST ST, SUITE B, KINGSTON, TN 37763-2712
(865) 621-9663
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/11/2006
Last updated
08/22/2020
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