Provider Demographics
NPI:1417255779
Name:ENDOMED INC.
Entity Type:Organization
Organization Name:ENDOMED INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GREER
Authorized Official - Middle Name:HARDIN
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:865-330-7760
Mailing Address - Street 1:333 TROY CIR STE L
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-6101
Mailing Address - Country:US
Mailing Address - Phone:865-330-7760
Mailing Address - Fax:865-330-7761
Practice Address - Street 1:333 TROY CIR STE L
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-6101
Practice Address - Country:US
Practice Address - Phone:865-330-7760
Practice Address - Fax:865-330-7761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-09
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN105376452332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies