Organization
INTERNAL MEDICINE ASSOCIATES OF TULLAHOMA PC
Active
Other names
Internal Medicine Associates
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA EVANS DUNCAN (ADMINISTRATOR)
(931) 455-7767
Entity
Organization
Contact information
Practice address
1805 N JACKSON ST, BLDG A SUITE 100, TULLAHOMA, TN 37388
(931) 455-7767
(931) 455-8636
Mailing address
1805 N JACKSON ST, BLDG A SUITE 100, TULLAHOMA, TN 37388
(931) 455-7767
(931) 455-8636
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4400309810
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3724077
—
TN
01
—
4090988
BCBS
TN
01
—
CH1576
RR MCR
TN
Enumeration date
09/20/2006
Last updated
08/22/2020
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