Organization · Type 2 NPI
Prodigal Primary Care PC
Durable Medical Equipment & Medical Supplies · Maynardville, TN
Practice location
598 John Deere Dr
Maynardville, TN 37807-3212
Fax (865) 745-1873
Mailing address
2911 Essary Dr
Knoxville, TN 37918-2468
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | None 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
- Ucsc Primary CareFamily Nurse Practitioner Maynardville, TN NPI 1497037451
- Ucsc Primary Care - Union County LLCContractor Maynardville, TN NPI 1386924686
- Union Family MedicinePhysician Assistant Maynardville, TN NPI 1821392937
- Holly Apodaca, PA-CPhysician Assistant Maynardville, TN NPI 1770872087
- Kayla Renee Brummitte Newcomb, FNP-C, BSN, RNFamily Nurse Practitioner Maynardville, TN NPI 1720374697
About NPI 1881033959
Prodigal Primary Care PC's National Provider Identifier is 1881033959, issued on Jun 21, 2013. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Maynardville, TN. The record was last updated on Nov 1, 2013.