Organization
ORTHOTENNESSEE, PC
Active
Other names
OrthoTennessee Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JON-DAVID DEESON (CEO)
(865) 769-4545
Entity
Organization
Contact information
Practice address
90 VERMONT AVE, SUITE 301, OAK RIDGE, TN 37830-6474
(865) 482-2390
(865) 482-2347
Mailing address
90 VERMONT AVE, SUITE 301, OAK RIDGE, TN 37830-6474
(865) 482-2390
(865) 482-2347
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4538070011
SUPPLIER NUMBER
TN
Enumeration date
11/01/2007
Last updated
09/29/2017
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