Organization
RESPIRATORY PLUS
Active
Parent organization
4476820001
Organization subpart
Yes
Provider details
NPI number
Legal business name
4476820001
Authorized official
MR. DANIEL LANE WILKINSON (PRESIDENT CEO)
(931) 381-6766
Entity
Organization
Contact information
Practice address
617 S JAMES CAMPBELL BLVD, COLUMBIA, TN 38401-4392
(931) 381-6766
(931) 381-6988
Mailing address
PO BOX 1557, COLUMBIA, TN 38402-1557
(931) 381-6766
(931) 381-6988
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0000000693
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10073590
AMERIGROUP
—
01
—
4048882
BCBSTN
—
05
—
4582419
—
TN
01
—
TN0101
AMERICHOICE
—
Enumeration date
11/08/2006
Last updated
03/26/2008
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