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Organization

CUSTOM LIFTS & ACCESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KIMBERLY MICHELLE BYERLEY (OWNER)
(423) 842-3505
Entity
Organization

Contact information

Practice address
1903 BAY POINTE DR, HIXSON, TN 37343-3192
(423) 842-3505
(423) 843-9825
Mailing address
PO BOX 717, HIXSON, TN 37343-0717
(423) 842-3505
(423) 843-9825

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary

Other

Enumeration date
10/09/2008
Last updated
10/09/2008
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