Organization
INTERNAL MEDICINE ASSOCIATES OF TULLAHOMA PC
Active
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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