Organization
PROMED EQUIPMENT COMPANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA A SCOTT (MANAGER)
(423) 877-7800
Entity
Organization
Contact information
Practice address
1510 GUNBARREL RD STE 700, CHATTANOOGA, TN 37421-7129
(423) 648-4164
(423) 877-9255
Mailing address
1603 HAMILL RD, HIXSON, TN 37343-4902
(423) 877-7800
(423) 876-8915
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
3038
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3038
LICENSE
—
01
—
4118973
BCBS OF TN PROVIDER NUMBE
TN
05
—
903791283A
—
GA
Enumeration date
10/02/2006
Last updated
01/21/2010
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