Organization
TULLAHOMA IMMEDIATE CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN D PATSIMAS M.D. (M.D.)
(931) 454-0489
Entity
Organization
Contact information
Practice address
1210 S JACKSON ST, TULLAHOMA, TN 37388-4386
(931) 454-0489
(931) 454-1227
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
01
—
4315510
BCBS
TN
Enumeration date
12/06/2011
Last updated
03/28/2013
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