Organization
FAMILY PRACTICE CENTER OF TULLAHOMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D PATSIMAS M.D. (M.D.)
(931) 454-0489
Entity
Organization
Contact information
Practice address
100 WILLIAM NORTHERN BLVD, TULLAHOMA, TN 37388-4754
(931) 454-0489
Mailing address
100 WILLIAM NORTHERN BLVD, TULLAHOMA, TN 37388-4754
(931) 454-0489
(931) 454-1227
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1527567
—
TN
01
—
4314517
BCBS
TN
Enumeration date
07/03/2008
Last updated
03/20/2013
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