Organization
TIPTON COUNTY INTEGRATED MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRECK BEASLEY (MANAGER)
(901) 475-1100
Entity
Organization
Contact information
Practice address
201 W PLEASANT AVENUE, COVINGTON, TN 38019-2538
(901) 475-1100
Mailing address
201 W PLEASANT AVE, COVINGTON, TN 38019-2538
(901) 475-1100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/06/2016
Last updated
03/02/2017
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