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Organization

THOMAS O HENLEY

Active
Other names
Henley Medical
Organization subpart
No

Provider details

NPI number
Authorized official
AVE M HENLEY (CFO)
(423) 698-4200
Entity
Organization

Contact information

Practice address
1090 MCCALLIE AVENUE, CHATTANOOGA, TN 37404
(423) 698-4200
(423) 629-8810
Mailing address
1090 MCCALLIE AVENUE, CHATTANOOGA, TN 37404
(423) 698-4200
(423) 629-8810

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0000000482
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00528316A
GA
01
0082678
TENNCARE BLUECARE
TN
Enumeration date
10/12/2006
Last updated
05/17/2023
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