# MAURY REGIONAL HOSPITAL MARSHALL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Maury Regional Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912527250
- **Authorized official:** GREGORY A WHITLOCK (VP FINANCE/IT)
- **Authorized official phone:** (931) 540-4212

## Contact information

- **Practice address:** 1080 N ELLINGTON PKWY, LEWISBURG, TN 37091-2227
- **Practice address phone:** (931) 540-4255
- **Practice address fax:** (931) 490-4654
- **Mailing address:** 854 W JAMES M CAMPBELL BLVD, COLUMBIA, TN 38401-4659
- **Mailing address phone:** (931) 540-4255
- **Mailing address fax:** (931) 490-4654

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RR0500X | Rheumatology Physician | — | NULL | — |
| 207RR0500X | Rheumatology Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208800000X | Urology Physician | — | NULL | — |
| 208800000X | Urology Physician | — | — | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

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