Organization
DEBERRYMEDICALEQUIPMENTSUPPLIERINC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TOREN LOUISE DEBERRY (OWNER)
(901) 369-0110
Entity
Organization
Contact information
Practice address
3865 VISCOUNT AVE, SUITE 5, MEMPHIS, TN 38118-6051
(901) 369-0110
(901) 369-0082
Mailing address
3865 VISCOUNT AVE, SUITE 5, MEMPHIS, TN 38118-6051
(901) 369-0110
(901) 369-0082
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332B00000X
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454219
—
TN
05
—
1454986
—
TN
Enumeration date
12/13/2005
Last updated
08/22/2020
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