Prodigal Primary Care PC
NPI #1306196530 in Lenoir City, Tennessee
Provider Information
- NPI Number
- 1306196530
- Entity Type
- Organization
- Organization Name
- Prodigal Primary Care PC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Sep 14, 2012
- Last Updated
- Nov 1, 2013
Practice Location
- Address
- 721 HIGHWAY 321 N
- Address 2
- BLD 3
- City
- Lenoir City
- State
- Tennessee
- ZIP Code
- 37771-5003
- Phone
- (865) 288-3754
Authorized Official
- Name
- MR. DAVID E BRICKHOUSE, PA-C
- Title
- OWNER
- Phone
- (865) 288-3754
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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