Tennessee Foot Care Center LLC
Durable Medical Equipment & Medical Supplies in Ripley, TN. Organization (NPI-2).
NPI number1861679136
StatusActive
Last updated in NPPESDec 30, 2024
Details
- NPI
- 1861679136
- Entity type
- Organization (NPI-2)
- Legal business name
- Tennessee Foot Care Center LLC
- Organization subpart
- No
- Enumeration date
- Jan 29, 2008
- Certification date
- Dec 30, 2024
- Last updated
- Dec 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
647 S Washington StRipley, TN 38063-2044
Phone 731-635-4800 · Fax 731-635-4801
Mailing address
647 S Washington StRipley, TN 38063-2044
Phone 731-635-4800 · Fax 731-635-4801
Authorized official
Cedric K Cooper
Member/Agent
7317847430
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