Organization
TULLAHOMA HMA, LLC
Active
Other names
Harton Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY MALLETTE (OFFICE MANAGER)
(800) 853-4570
Entity
Organization
Contact information
Practice address
1801 N JACKSON ST, TULLAHOMA, TN 37388-2201
(931) 393-7901
(931) 393-7855
Mailing address
PO BOX 1990, TULLAHOMA, TN 37388-1990
(931) 393-7901
(931) 393-7855
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0000000018
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3250309
—
TN
Enumeration date
06/15/2006
Last updated
12/31/2015
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