Organization
ETHICAL MEDICAL LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD E BANTON (PRESIDENT)
(423) 773-2663
Entity
Organization
Contact information
Practice address
1300 LAKE RIDGE SQ, JOHNSON CITY, TN 37601-7402
(423) 773-2663
Mailing address
1300 LAKE RIDGE SQ, JOHNSON CITY, TN 37601-7402
(423) 773-2663
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0015276
TN
Other
Enumeration date
05/09/2007
Last updated
12/06/2007
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