# MAURY REGIONAL HOSPITAL MARSHALL MEDICAL CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1770103863
- **Authorized official:** GREGORY A WHITLOCK III (VP FINANCE/IT)
- **Authorized official phone:** (931) 540-4212

## Contact information

- **Practice address:** 1222 TROTWOOD AVE STE 101, COLUMBIA, TN 38401-6404
- **Practice address phone:** (931) 490-7372
- **Practice address fax:** (931) 490-7379
- **Mailing address:** PO BOX 100054, ATLANTA, GA 30348-0054
- **Mailing address phone:** (931) 490-1295
- **Mailing address fax:** (931) 490-1298

## 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 | — | — | — |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/20/2020
- **Last updated:** 06/03/2025