MEDICARE: TC MEDICAL SUPPLIES, 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
1	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1639228745
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TC MEDICAL SUPPLIES, INC.

Provider Business Mailing Address
First Line	:	1821 WOODDALE CT.
Second Line	:	STE. 101
City	:	BATON ROUGE
State	:	LA
Zip	:	70806
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1821 WOODDALE CT STE 101
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-1535
Country	:	US
Telephone Number	:	225-924-9889
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. NICHOLE DAY
Credential	:
Telephone Number	:	225-924-9889

Provider Enumeration Date	:	01/09/2007
Last Update Date	:	08/22/2020

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