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NPI Code Detail

MEDICARE: TLC MEDICAL OXYGEN & HOSPITAL EQUIPMENT INC

MEDICARE: TLC MEDICAL OXYGEN & HOSPITAL EQUIPMENT INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332BX2000XOxygen Equipment & Supplies (DME)422TN

General Provider Information

NPI Number : 1225295264
Entity Type Code : Organization
Provider Name (Legal Business Name) : TLC MEDICAL OXYGEN & HOSPITAL EQUIPMENT INC
Provider Business Mailing Address
First Line : 3326 ASPEN GROVE DR
Second Line : SUITE 260
City : FRANKLIN
State : TN
Zip : 37067-2837
Country : US
Telephone Number : 615-771-1898
Fax Number : 615-771-2928
Provider Business Practice Location Address
First Line : 224 OLD MILL RD
Second Line :
City : WARTBURG
State : TN
Zip : 37887-4163
Country : US
Telephone Number : 423-346-8222
Fax Number : 423-346-8230
Authorized Official
Title or Position : OWNER
Name : MONTY J LANKFORD
Credential :
Telephone Number : 615-771-1898
Provider Enumeration Date : 05/19/2008
Last Update Date : 08/02/2012

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Practice Fax:
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1831409168 — REBECCA KELLY CARDONA LPC-MHSP, PHD
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Directions to “TLC MEDICAL OXYGEN & HOSPITAL EQUIPMENT INC ” Practice Location

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