Provider Demographics
NPI:1639469208
Name:THE M.E.D. COMPANY
Entity type:Organization
Organization Name:THE M.E.D. COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MATTIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-485-6013
Mailing Address - Street 1:3744 ANNEX AVE
Mailing Address - Street 2:SUITE B2
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-4305
Mailing Address - Country:US
Mailing Address - Phone:615-485-6013
Mailing Address - Fax:
Practice Address - Street 1:3744 ANNEX AVE
Practice Address - Street 2:SUITE B2
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-4305
Practice Address - Country:US
Practice Address - Phone:615-485-6013
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-15
Last Update Date:2011-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies