Organization
HIGHLAND RIM ANESTHESIA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMMY LYNN NICHOLS LPN (LPN)
(931) 455-3649
Entity
Organization
Contact information
Practice address
1801 N JACKSON ST, TULLAHOMA, TN 37388-2201
(931) 455-3649
(931) 455-8676
Mailing address
PO BOX 1927, TULLAHOMA, TN 37388-1927
(931) 455-3649
(931) 455-8678
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
LPN0000043342
TN
Other
Enumeration date
05/14/2007
Last updated
08/22/2020
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