Organization
PRODIGAL PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID E BRICKHOUSE PA (PA)
(865) 288-3754
Entity
Organization
Contact information
Practice address
9221 MIDDLEBROOK PIKE, SUITE 102, KNOXVILLE, TN 37931-4764
(865) 288-3754
(865) 539-2969
Mailing address
2911 ESSARY DR, KNOXVILLE, TN 37918-2468
(865) 288-3754
(865) 254-2250
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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