Organization
SOUTHERN MEDICAL
Active
Other names
ED MEDICAL INC
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER BLAKELY (CEO/OWNER)
(615) 822-8888
Entity
Organization
Contact information
Practice address
106 FREE HILL ROAD, HENDERSONVILLE, TN 37075-3495
(615) 822-8888
(615) 822-8280
Mailing address
106 FREE HILL ROAD, HENDERSONVILLE, TN 37075-3495
(615) 822-8888
(615) 822-8280
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
09/08/2005
Last updated
05/18/2023
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