# TULLAHOMA IMMEDIATE CARE PC

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

## Provider details

- **NPI number:** 1730457649
- **Authorized official:** DR. JOHN D PATSIMAS M.D. (M.D.)
- **Authorized official phone:** (931) 454-0489

## Contact information

- **Practice address:** 1210 S JACKSON ST, TULLAHOMA, TN 37388-4386
- **Practice address phone:** (931) 454-0489
- **Practice address fax:** (931) 454-1227
- **Mailing address:** 100 WILLIAM NORTHERN BLVD, TULLAHOMA, TN 37388-4754
- **Mailing address phone:** (931) 454-0489
- **Mailing address fax:** (931) 454-1227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/06/2011
- **Last updated:** 03/28/2013