Healthcare Provider Details

I. General information

NPI: 1518882398
Provider Name (Legal Business Name): CAMERON MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 3RD ST SW
CLEVELAND TN
37311-5923
US

IV. Provider business mailing address

330 3RD ST SW
CLEVELAND TN
37311-5923
US

V. Phone/Fax

Practice location:
  • Phone: 423-614-5962
  • Fax: 423-479-3133
Mailing address:
  • Phone: 423-614-5962
  • Fax: 423-479-3133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: EARL CAMERON
Title or Position: MANAGING MEMBER
Credential:
Phone: 423-614-5962