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Organization

MAXMED CARE SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HEATHER C BOHANNON-IYAMA NP (MEMBER)
(931) 393-2362
Entity
Organization

Contact information

Practice address
1950 N JACKSON ST, TULLAHOMA, TN 37388-2204
(931) 393-2362
(931) 393-3212
Mailing address
5103 MOUNTAIN BREEZE CT, LA VERGNE, TN 37086-4914
(931) 393-2362
(931) 393-3212

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
02/20/2019
Last updated
02/20/2019
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