Individual
PATTY M MARVEL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1821 N WASHINGTON ST, TULLAHOMA, TN 37388-2221
(931) 455-2005
(931) 455-4450
Mailing address
1821 N WASHINGTON ST, TULLAHOMA, TN 37388-2221
(931) 455-2005
(931) 455-4450
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
29709
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3088856
BLUE CROSS BLUE SHIELD
TN
05
—
3820951
—
TN
Enumeration date
06/14/2005
Last updated
07/08/2007
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