Healthcare Provider Details

I. General information

NPI: 1669495883
Provider Name (Legal Business Name): AMMED INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 08/30/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 JORDAN LN
PARSONS TN
38363
US

IV. Provider business mailing address

PO BOX 10
PARSONS TN
38363-0010
US

V. Phone/Fax

Practice location:
  • Phone: 731-847-8717
  • Fax: 731-847-8884
Mailing address:
  • Phone: 731-847-6343
  • Fax: 731-847-4200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number0000000445
License Number StateTN

VIII. Authorized Official

Name: ROBIN F BRADLEY
Title or Position: SECRETARY
Credential:
Phone: 615-595-8383