Organization
CCC MEDICAL EQUIPMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA C MONTGOMERY (PRESIDENT/OWNER)
(731) 584-7919
Entity
Organization
Contact information
Practice address
205 HOSPITAL DR, MC KENZIE, TN 38201-1649
(731) 352-6005
(731) 352-6006
Mailing address
115 VICKSBURG AVE, CAMDEN, TN 38320-1613
(731) 584-7919
(731) 584-7920
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
00000000878
TN
Other
Enumeration date
11/05/2013
Last updated
07/31/2014
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