Organization
A PLUS HEALTH SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY STIDHAM (OWNER)
(901) 596-3075
Entity
Organization
Contact information
Practice address
7478 CRYSTAL LAKE DR, CORDOVA, TN 38016-8779
(901) 596-3075
Mailing address
7478 CRYSTAL LAKE DR, CORDOVA, TN 38016-8779
(901) 596-3075
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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