Organization
TYMBER LEE TATUM ARNP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYMBER TATUM TERRELL APRN (OWNER)
(386) 628-8008
Entity
Organization
Contact information
Practice address
4289 NW AMERICAN LN, LAKE CITY, FL 32055-4881
(386) 628-8008
(386) 200-5755
Mailing address
4289 NW AMERICAN LN, LAKE CITY, FL 32055-4881
(386) 628-8008
(386) 200-5755
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/24/2023
Last updated
08/13/2024
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