# MAURY REGIONAL HOSPITAL MARSHALL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MRMG Plaza
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720607021
- **Authorized official:** GREGORY A WHITLOCK (VP FINANCE/IT)
- **Authorized official phone:** (931) 540-4212

## Contact information

- **Practice address:** 854 W JAMES M CAMPBELL BLVD STE 403, COLUMBIA, TN 38401-4659
- **Practice address phone:** (931) 380-0075
- **Practice address fax:** (931) 388-7502
- **Mailing address:** PO BOX 100054, ATLANTA, GA 30348-0054
- **Mailing address phone:** (931) 388-9706
- **Mailing address fax:** (931) 490-1095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | — |
| 207RR0500X | Rheumatology Physician | — | NULL | — |
| 207RR0500X | Rheumatology Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/16/2020
- **Last updated:** 06/03/2025