Provider Demographics
NPI:1366731077
Name:ABOUT YOU LLC
Entity type:Organization
Organization Name:ABOUT YOU LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:R
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-492-6113
Mailing Address - Street 1:7440 LEEPER BLAKE CIR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37924-2900
Mailing Address - Country:US
Mailing Address - Phone:865-560-1557
Mailing Address - Fax:865-560-1995
Practice Address - Street 1:120 S PETERS RD
Practice Address - Street 2:SUITE 15
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-5225
Practice Address - Country:US
Practice Address - Phone:865-560-1557
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-04
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN6662240001OtherMEDICARE PTAN