Organization
HAL MEDICAL O&P TENNESSEE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN D WORLEY (OWNER)
(866) 284-8872
Entity
Organization
Contact information
Practice address
117 W MADISON ST, PULASKI, TN 38478-3231
(866) 284-8872
(866) 979-1771
Mailing address
117 W MADISON ST, PULASKI, TN 38478-3231
(866) 284-8872
(866) 979-1771
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/08/2018
Last updated
12/06/2022
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