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Organization
MARTIN HEALTH
Active
Organization
MARTIN HEALTH
Active
Other names
West Tennessee Medical Group Hillview South Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TINA PRESCOTT (PRESIDENT AND CEO)
(731) 541-5000
Entity
Organization
Contact information
Practice address
1135 BROADWAY STREET, SOUTH FULTON, TN 38257-2835
(731) 479-2606
(731) 479-2610
Mailing address
1135 BROADWAY STREET, SOUTH FULTON, TN 38257-2835
(731) 479-2606
(731) 479-2610
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
0000000126
TN
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/21/2014
Last updated
10/14/2024
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