Organization Name: | DICKSON MEDICAL EQUIPMENT, INC |
NPI Number: | 1851697437 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RENEE EDENS (BILLING MGR) |
Mailing Address: | 15c N Boone St Erin |
State: | TN US |
Postal Code: | 370614193 |
Phone Number: | 9312893947 |
Fax Number: | 9312895308 |
NPI Enumeration Date: | 01/31/2011 |
NPI Last Update Date: | 01/31/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | 0000000710 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |