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Organization

MEDICAL EQUIPMENT DISTRIBUTORS OF TENNESSEE, INC

Active
Other names
Medical Mart
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JASON JOHN HAMES (VICE PRESIDENT)
(865) 380-0819
Entity
Organization

Contact information

Practice address
742 W LAMAR ALEXANDER PKWY, MARYVILLE, TN 37801-3913
(865) 380-0819
(865) 380-0890
Mailing address
742 W LAMAR ALEXANDER PKWY, MARYVILLE, TN 37801-3913
(865) 380-0819
(865) 380-0890

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0000000691
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1454237
TN
01
3141795
BLUE CROSS BLUE SHIELD
TN
Enumeration date
05/01/2006
Last updated
08/22/2020
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