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Cinderella Wigs & Breast Prosthetics
Durable Medical Equipment & Medical Supplies in Tiptonville, Tennessee
NPI 1891940201

Cinderella Wigs & Breast Prosthetics is a Durable Medical Equipment & Medical Supplies based in Tiptonville, TN. Cinderella Wigs & Breast Prosthetics practices in Tiptonville, TN. The NPI Number for Cinderella Wigs & Breast Prosthetics is 1891940201 and holds a License No. (Tennessee).

The current practice location address for Cinderella Wigs & Breast Prosthetics is 140 Lake Dr, Tiptonville, TN and can be reached out via phone at 731-623-4333 and via fax at 731-623-4333.

Location: 140 Lake Dr, Tiptonville, TN, 38079-1359
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891940201
Provider Name
Cinderella Wigs & Breast Prosthetics
Credential
Provider Entity Type
Organization
Address
140 Lake Dr, Tiptonville, TN, 38079-1359
Phone Number
731-623-4333
Fax Number
731-623-4333
Provider Enumeration Date
11/26/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1455190 01 TN TENN CARE MEDICAID
4041082 01 TN BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
140 Lake Dr
City
Tiptonville
State
Tennessee
Zip
38079-1247
Phone Number
731-623-4333
Fax Number
731-623-4333
person
Provider Business Mailing Address Details
Address
140 Lake Dr
City
Tiptonville
State
Tennessee
Zip
38079-1247
Phone Number
731-623-4333
Fax Number
731-623-4333
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
(Tennessee)
Definition
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.
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