NPI 1780756148
Healthsource, INC.
Practice location
- Address
- 5211 Highway 153 Suite K, Hixson, TN 37343-4956
- Phone
- (423) 648-2095
Authorised official
- Name
- Rebecca Fortner
- Title
- Ceo
- Phone
- (423) 648-2095
Registered specialties
Parenteral & Enteral Nutrition Supplies (DME)
Primary
Registry record
- NPI
- 1780756148
- Entity type
- Organization
- NPI issued
- 14 Nov 2006
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.