Organization
ENHANCED FITTINGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBA ANN NELSON RFM (CERTIFIED FITTER)
(865) 882-8182
Entity
Organization
Contact information
Practice address
611 CARTER AVE, HARRIMAN, TN 37748-2414
(865) 882-8182
(865) 882-8182
Mailing address
611 CARTER AVE, HARRIMAN, TN 37748-2414
(865) 882-8182
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCBS4104268
PROVIDER NUMBER
TN
Enumeration date
08/10/2006
Last updated
08/22/2020
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