Organization · Type 2 NPI

Prodigal Primary Care

Durable Medical Equipment & Medical Supplies · Knoxville, TN

NPI number 1407295587 Active

Practice location

9221 Middlebrook Pike, Suite 102
Knoxville, TN 37931-4764

Fax (865) 539-2969

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.

5 other providers at this address

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About NPI 1407295587

Prodigal Primary Care's National Provider Identifier is 1407295587, issued on Jun 21, 2013. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Knoxville, TN. The record was last updated on Jun 21, 2013.