Organization
PRO MEDICAL CORPORATION
Active
Other names
PRO MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA L LYONS (SEC)
(615) 230-3000
Entity
Organization
Contact information
Practice address
179 HANCOCK ST, STE 303, GALLATIN, TN 37066-6346
(615) 230-3000
(615) 230-3029
Mailing address
PO BOX 8118, GALLATIN, TN 37066-8118
(615) 230-3000
(615) 230-3029
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1455002
—
TN
01
—
4441503
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/20/2006
Last updated
10/28/2010
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