Organization
PARAGON NUTRITION CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN MCGOVERN (PRESIDENT / CEO)
(931) 433-9799
Entity
Organization
Contact information
Practice address
115 MARKET ST E STE B, FAYETTEVILLE, TN 37334-3092
(931) 433-9799
(866) 491-5888
Mailing address
115 MARKET ST E STE B, FAYETTEVILLE, TN 37334-3092
(931) 433-9799
(866) 491-5888
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Enumeration date
03/10/2011
Last updated
03/10/2011
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