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CAMPBELL CUNNINGHAM TAYLOR PC NPI 1902008162


NPI Information

NPI: 1902008162
Provider Name: CAMPBELL CUNNINGHAM TAYLOR PC

Doing Business As: CAMPBELL, CUNNINGHAM, & TAYLOR OPTICAL DISPENSARY

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1124 E WEISGARBER RD
SUITE 102
KNOXVILLE, TN
ZIP 37909
Phone: (865) 584-0905
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CAMPBELL CUNNINGHAM TAYLOR PC is a durable medical equipment medical supplies in Knoxville, 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 1902008162. The provider is registered as an organization entity type.
The provider Is Doing Business As Campbell, Cunningham, & Taylor Optical Dispensary.

The provider's business location address is:

1124 E WEISGARBER RD
SUITE 102
KNOXVILLE, TN
ZIP 37909-686
Phone: (865) 584-0905
Fax: (865) 584-3892

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

The enumeration date for this NPI number is 6/1/2007 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 Supplies645010002TENNESSEEYes

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
13371152MEDICAIDTENNESSEE

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: 11/14/2023

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