Organization
TRISTATE PULMONARY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARYELL CUSHMAN BHS,RRT (OWNER)
(901) 270-0555
Entity
Organization
Contact information
Practice address
836 TROPICANA DR E, CORDOVA, TN 38018-3571
(901) 270-0555
Mailing address
836 TROPICANA DR E, CORDOVA, TN 38018-3571
(901) 270-0555
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
RRT-450
TN
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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