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1861172009

NPI Code Detail

MEDICARE: PROTECH MEDICAL LLC

MEDICARE: PROTECH MEDICAL LLC

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1861172009
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROTECH MEDICAL LLC

Provider Business Mailing Address
First Line	:	1100 HATCHER LN
Second Line	:
City	:	COLUMBIA
State	:	TN
Zip	:	38401-3530
Country	:	US
Telephone Number	:	931-388-3766
Fax Number	:	931-540-8209

Provider Business Practice Location Address
First Line	:	151 ADAMS LN STE 17
Second Line	:
City	:	MT JULIET
State	:	TN
Zip	:	37122-8320
Country	:	US
Telephone Number	:	800-722-7313
Fax Number	:	931-540-8209

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	DAVID BAXTER
Credential	:
Telephone Number	:	800-722-7313

Provider Enumeration Date	:	07/21/2023
Last Update Date	:	06/03/2026

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Directions to “PROTECH MEDICAL LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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