Organization
HERBISON MEDICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE ALLEN HERBISON (PRESIDENT)
(931) 582-7711
Entity
Organization
Contact information
Practice address
124 MAIN ST, MC EWEN, TN 37101-4590
(931) 582-7711
Mailing address
PO BOX 9, MC EWEN, TN 37101-0009
(931) 582-7711
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
663
TN
3336C0003X
Community/Retail Pharmacy
3815
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452164
—
TN
Enumeration date
08/23/2006
Last updated
06/12/2012
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