Organization
TENNESSEE VALLEY BONE AND JOINT LLC
Active
Other names
Tennessee Valley Bone and Joint
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA GONZALEZ (NCPDP COORDINATOR)
(479) 636-9702
Entity
Organization
Contact information
Practice address
2350 N OCOEE STREET, CLEVELAND, TN 37311
(479) 636-9702
(877) 427-2307
Mailing address
PO BOX 3328, BENTONVILLE, AR 72712
(479) 636-9702
(877) 427-2307
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
DO0000001134
TN
Other
Enumeration date
11/27/2017
Last updated
11/27/2017
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