Organization
ORTHOTENNESSEE, PC
Active
Other names
OrthoTennessee Orthotics
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN SUMNER (CEO)
(865) 769-4545
Entity
Organization
Contact information
Practice address
460 MEDICAL PARK DR, SUITE 104, LENOIR CITY, TN 37772-5640
(865) 986-7737
Mailing address
260 FORT SANDERS WEST BLVD, KNOXVILLE, TN 37922-3355
(865) 769-4545
(865) 769-4501
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/24/2006
Last updated
03/13/2009
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