Organization
MORRISTOWN ORTHOTICS & PROSTHETICS LLC
Active
Organization
MORRISTOWN ORTHOTICS & PROSTHETICS LLC
Active
Other names
MORRISTOWN ORTHOTICS & PROSTHETICS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY M PARSONS COF (OWNER/MANAGER)
(423) 586-4455
Entity
Organization
Contact information
Practice address
1457 W MORRIS BLVD, MORRISTOWN, TN 37813-2828
(423) 586-4455
(423) 586-8181
Mailing address
1457 W MORRIS BLVD, MORRISTOWN, TN 37813-2828
(423) 586-4455
(423) 586-8181
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
CP 2127 CO 1603
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452176
—
TN
01
—
173406
BLUE CROSS BLUE SHIELD
TN
01
—
173406
BLUE CARE
—
Enumeration date
03/13/2008
Last updated
06/30/2008
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