Organization
HOHENWALD MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PARKER (PARTNER)
(931) 796-7960
Entity
Organization
Contact information
Practice address
20 S PARK ST, HOHENWALD, TN 38462-1413
(931) 796-7960
(931) 796-7790
Mailing address
PO BOX 5, HOHENWALD, TN 38462-0005
(931) 796-7960
(931) 796-7790
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0000021337
TN
363AM0700X
Medical Physician Assistant
PA0000000781
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3715488
—
TN
01
—
4058796
BC/BS OF TENNESSEE
TN
01
—
TN0101
AMERICHOICE
TN
Enumeration date
04/13/2006
Last updated
10/08/2007
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