Organization
TENNESEE VALLEY HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON GREGORY HOUGLUM CFO (ORTHOTIC FITTER)
(615) 327-4751
Entity
Organization
Contact information
Practice address
1310 24TH AVE S, G-357, NASHVILLE, TN 37212-2637
(615) 327-4751
(615) 321-6337
Mailing address
1310 24TH AVE S, G-357, NASHVILLE, TN 37212-2637
(615) 327-4751
(615) 321-6337
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CFO02573
TN
Other
Enumeration date
12/03/2008
Last updated
12/03/2008
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