Organization
MEDICAL EQUIPMENT DISTRIBUTORS OF TENESSEE
Active
Other names
Medical Mart
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON JOHN HAMES (CHEIF FINANCIAL OFFICER)
(865) 380-0819
Entity
Organization
Contact information
Practice address
980 HIGHWAY 28, SUITE 404, JASPER, TN 37347-3695
(423) 942-2556
(423) 942-2442
Mailing address
742 W LAMAR ALEXANDER PKWY, MARYVILLE, TN 37801
(865) 380-0819
(865) 380-0890
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0000000691
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454237
—
TN
Enumeration date
05/03/2007
Last updated
08/22/2020
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