Organization
MAURY REGIONAL HOSPITAL MARSHALL MEDICAL CENTER
Active
Other names
MRMG MOB
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY A WHITLOCK III (VP FINANCE/IT)
(931) 540-4212
Entity
Organization
Contact information
Practice address
1222 TROTWOOD AVE STE 101, COLUMBIA, TN 38401-6404
(931) 490-7372
(931) 490-7379
Mailing address
PO BOX 100054, ATLANTA, GA 30348-0054
(931) 490-1295
(931) 490-1298
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/20/2020
Last updated
06/03/2025
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