Organization · Type 2 NPI

Prodigal Primary Care PC

Durable Medical Equipment & Medical Supplies · Lenoir City, TN

NPI number 1306196530 Active

Practice location

721 Highway 321 N, Bld 3
Lenoir City, TN 37771-5003

Fax (865) 394-6719

Mailing address

2911 Essary Dr
Knoxville, TN 37918-2468

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies Primary 332B00000XNone listed

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

7 other providers at this address

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About NPI 1306196530

Prodigal Primary Care PC's National Provider Identifier is 1306196530, issued on Sep 14, 2012. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Lenoir City, TN. The record was last updated on Nov 1, 2013.