Organization
ANTIOCH MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EFE K OWEN (MANAGER)
(615) 403-2916
Entity
Organization
Contact information
Practice address
304 S LOWRY ST STE A1-2, SMYRNA, TN 37167-3415
(615) 625-3332
(615) 984-4082
Mailing address
304 S LOWRY ST STE A1-2, SMYRNA, TN 37167-3415
(615) 625-3332
(615) 984-4082
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
DMEHS4340
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DMHS4340
DMHS
TN
Enumeration date
08/08/2018
Last updated
12/08/2025
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