Edgar Swan
Durable Medical Equipment & Medical Supplies in Gallatin, TN. Organization (NPI-2).
NPI number1851577100
StatusActive
Last updated in NPPESJan 17, 2008
Details
- NPI
- 1851577100
- Entity type
- Organization (NPI-2)
- Legal business name
- Edgar Swan
- Organization subpart
- No
- Enumeration date
- Jan 17, 2008
- Last updated
- Jan 17, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | DPO 657 | TN | Yes |
Other names
- Gallatin Optical Company (Doing Business As)
Practice location
137 W BroadwayGallatin, TN 37066-2717
Phone 615-452-2111 · Fax 615-452-2251
Mailing address
137 W BroadwayGallatin, TN 37066-2717
Phone 615-452-2111 · Fax 615-452-2251
Authorized official
Edgar Earl Swan
Optician
6154522111
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