# TULLAHOMA HOSPITALIST GROUP, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255742946
- **Authorized official:** MR. CHRISTOPHER BRIAN DURHAM (PRESIDENT)
- **Authorized official phone:** (770) 874-5400

## Contact information

- **Practice address:** 1801 N JACKSON ST, TULLAHOMA, TN 37388-8259
- **Practice address phone:** (931) 393-3000
- **Practice address fax:** (770) 874-5483
- **Mailing address:** 5665 NEW NORTHSIDE DR, SUITE 320, ATLANTA, GA 30328-5831
- **Mailing address phone:** (770) 874-5400
- **Mailing address fax:** (770) 874-5483

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208M00000X | Hospitalist Physician | — | NULL | Yes |
| 208M00000X | Hospitalist Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/15/2014
- **Last updated:** 03/03/2017