# TULLAHOMA HMA PHYSICIAN MANAGEMENT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tennova Pediatrics- Tullahoma
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598396624
- **Authorized official:** JENNIFER JACKSON (SR. DIRECTOR)
- **Authorized official phone:** (615) 465-3334

## Contact information

- **Practice address:** 1440 CEDAR LN STE 100, TULLAHOMA, TN 37388-2486
- **Practice address phone:** (931) 393-7060
- **Practice address fax:** (931) 222-4303
- **Mailing address:** PO BOX 689022, FRANKLIN, TN 37068-9022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/28/2020
- **Last updated:** 09/03/2020