Doc Supply of West Tennessee, LLC

NPI #1265764088 in Jackson, Tennessee

Provider Information

NPI Number: 1265764088
Entity Type: Organization
Organization Name: Doc Supply of West Tennessee, LLC
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Feb 3, 2010
Last Updated: Oct 8, 2021

Practice Location

Address: 2192 EXPRESS DRIVE
Address 2: SUITE C
City: Jackson
State: Tennessee
ZIP Code: 38305
Phone: (800) 306-5160

Authorized Official

Name: MR. ROBERT THOMAS BALDRIDGE, ATP
Title: OWNER
Phone: (800) 306-5160

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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