Organization
MEDWORKS OF TULLAHOMA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L TINCH MD (MD/PRESIDENT)
(931) 222-4626
Entity
Organization
Contact information
Practice address
106 W BLACKWELL ST, TULLAHOMA, TN 37388-3556
(931) 222-4626
Mailing address
106 W BLACKWELL ST, TULLAHOMA, TN 37388-3556
(931) 222-4626
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
46297
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
TN
Enumeration date
08/28/2015
Last updated
08/28/2015
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