Organization
TULLAHOMA HMA PHYSICIAN MANAGEMENT, LLC
Active
Other names
Tennova Pediatrics- Tullahoma
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER JACKSON (SR. DIRECTOR)
(615) 465-3334
Entity
Organization
Contact information
Practice address
1440 CEDAR LN STE 100, TULLAHOMA, TN 37388-2486
(931) 393-7060
(931) 222-4303
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/28/2020
Last updated
09/03/2020
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