Type 2
Type 2 is a Durable Medical Equipment & Medical Supplies in Chattanooga, Tennessee. Licensed in Tennessee. Registered with an NPI since 2012.
- Licensed in
- TN
- In the registry since
- 2012
Practice location Address checks out
5793 Brainerd RdChattanooga, TN 37411-4011
Phone: (423) 834-6699
Fax: (423) 499-6408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X · Licence 044113 (TN) |
|---|
Record details
| NPI number | 1346515343 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michee Gustave — Owner · (423) 834-6699 |
| NPI enumerated | March 9, 2012 |
| Last updated in NPPES | March 9, 2012 |
| Mailing address | 5406 Autumn Wood Dr, Chattanooga, TN 37416-1553 |
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-
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Anthony G Tillman
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