Organization
CAPITAL PROSTHETIC & ORTHOTIC CENTER INC OF TENNESSEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOFIA GREY (GENERAL MGR/PRESIDENT)
(615) 534-2454
Entity
Organization
Contact information
Practice address
1076 COURIER PL, SUITE 501, SMYRNA, TN 37167-7705
(615) 534-2454
(615) 534-2452
Mailing address
1076 COURIER PL, SUITE 501, SMYRNA, TN 37167-7705
(615) 534-2454
(615) 534-2452
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
11,12,80
TN
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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