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CAMPBELL CUNNINGHAM TAYLOR PC NPI 1639405483


NPI Information

NPI: 1639405483
Provider Name: CAMPBELL CUNNINGHAM TAYLOR PC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
628 SMITHVIEW DR
MARYVILLE, TN
ZIP 37803
Phone: (865) 984-7012
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CAMPBELL CUNNINGHAM TAYLOR PC is a durable medical equipment medical supplies in Maryville, TN. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. CAMPBELL CUNNINGHAM TAYLOR PC NPI is 1639405483. The provider is registered as an organization entity type.

The provider's business location address is:

628 SMITHVIEW DR
MARYVILLE, TN
ZIP 37803-100
Phone: (865) 984-7012
Fax: (865) 981-4401

The provider's authorized official is Rhonda M Garrison .
The authorized official title is Credentials Coordinator and has the following contact phone number (865) 584-2127.

The enumeration date for this NPI number is 10/29/2009 and was last updated on 6/25/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesMD021400TENNESSEENo
2332B00000XDurable Medical Equipment & Medical SuppliesMD0034217TENNESSEENo
3332B00000XDurable Medical Equipment & Medical SuppliesMD0008625TENNESSEENo
4332B00000XDurable Medical Equipment & Medical SuppliesMD029986TENNESSEENo
5332B00000XDurable Medical Equipment & Medical SuppliesOD001240TENNESSEENo
6332B00000XDurable Medical Equipment & Medical SuppliesOD002250TENNESSEENo
7332B00000XDurable Medical Equipment & Medical SuppliesMD016011TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13371152OTHERTENNESSEEMEDICARE
23371152MEDICAIDTENNESSEE
3645010002OTHERTENNESSEEDME

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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