Organization
PERRY COUNTY MEDICAL CENTER, INC.
Active
Parent organization
THREE RIVERS COMMUNITY HEALTH GROUP
Other names
Three Rivers Community Health Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
THREE RIVERS COMMUNITY HEALTH GROUP
Authorized official
PHILLIP BRADLEY TATUM (CEO)
(931) 589-2104
Entity
Organization
Contact information
Practice address
7723 CLEARVIEW CHURCH LN STE 200, LYLES, TN 37098-1674
(931) 670-8318
Mailing address
PO BOX 916, LINDEN, TN 37096-0916
(931) 589-2104
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/03/2019
Last updated
08/13/2020
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