Theodore V. Mccown, Jr.

NPI 1033164652 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1033164652
Enumeration Date 05/23/2006
Last Updated 06/16/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name THEODORE V THEODORE
Position OWNER UNIQUE BOUTIQUE
Phone (423) 246-2646
Fax (423) 246-2646
Practice Location
1127A N EASTMAN RD
KINGSPORT TN, 37664, US
Phone (423) 246-2646
Fax (423) 246-2646
Business Location
1127A N EASTMAN RD
KINGSPORT TN, 37664, US
Phone (423) 246-2646
Fax (423) 246-2646
Toxanomy
Taxonomy Code 332B00000X
License State Tennessee
License Number 3059
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According to our database, Theodore V. Mccown, Jr. NPI is 1033164652, taxonomy code is 332B00000X and license number is 3059, license state is located at Tennessee. Theodore V. Mccown, Jr. physically located at 1127a N Eastman Rd, Kingsport TN, 37664. NPI Number 1033115704 has the healthcare provider type.

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1033164652 NPI number is provided on an as is basis without warranty of any kind. 1033164652 is maintained by the National Plan & Provider Enumeration System. The contents of Theodore V. Mccown, Jr. are for informational purposes only.