Organization · Type 2 NPI

Prodigal Primary Care PC

Durable Medical Equipment & Medical Supplies · Knoxville, TN

NPI number 1740534049 Active

Practice location

901 Merchant Dr
Knoxville, TN 37912-3862

Call (865) 474-1053 Map

Fax (865) 951-2401

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.

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About NPI 1740534049

Prodigal Primary Care PC's National Provider Identifier is 1740534049, issued on Nov 8, 2012. 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 Nov 1, 2013.