Organization
AMMED DIRECT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS BERRY (CEO)
(615) 941-3500
Entity
Organization
Contact information
Practice address
5720 CROSSINGS BLVD STE A, ANTIOCH, TN 37013-3144
(615) 941-3500
(615) 941-3822
Mailing address
5720 CROSSINGS BLVD STE A, ANTIOCH, TN 37013-3144
(615) 941-3500
(615) 941-3822
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0000000705
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009120122
—
VA
05
—
00914325
—
AL
05
—
06972708
—
MS
05
—
1000023876
—
DE
05
—
1139181
—
LA
05
—
1454373
—
TN
05
—
148472716
—
AR
05
—
1617870-1
—
TX
05
—
200036550A
—
OK
05
—
2440228
—
OH
05
—
253505018A
—
GA
05
—
4568254
—
MI
05
—
480038
—
AZ
05
—
6203062000
—
WV
05
—
626101703
—
MO
05
—
82263800
—
WI
05
—
90007964
—
KY
05
—
98183532
—
CO
Enumeration date
01/27/2006
Last updated
01/27/2011
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