Organization
MMS KNOXVILLE INC
Active
Other names
MED OF TENNESSEE
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SABRINA HAHN (CIOMPLIANCE OFFICER)
(865) 584-5501
Entity
Organization
Contact information
Practice address
1916 PATTERSON ST, NASHVILLE, TN 37203-2120
(615) 813-1211
(615) 813-1511
Mailing address
5210 S MIDDLEBROOK PIKE, KNOXVILLE, TN 37921-5972
(865) 584-5501
(865) 584-5560
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0000001359
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452105
—
TN
Enumeration date
10/23/2006
Last updated
05/19/2008
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