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Organization

MAURY REGIONAL HOSPITAL MARSHALL MEDICAL CENTER

Active
Other names
Maury Regional Medical Group
Organization subpart
No

Provider details

NPI number
Authorized official
GREGORY A WHITLOCK (VP FINANCE/IT)
(931) 540-4212
Entity
Organization

Contact information

Practice address
1080 N ELLINGTON PKWY, LEWISBURG, TN 37091-2227
(931) 540-4255
(931) 490-4654
Mailing address
854 W JAMES M CAMPBELL BLVD, COLUMBIA, TN 38401-4659
(931) 540-4255
(931) 490-4654

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
207RR0500X
Rheumatology Physician
207V00000X
Obstetrics & Gynecology Physician
208000000X
Pediatrics Physician
208800000X
Urology Physician
208VP0014X
Interventional Pain Medicine Physician
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
04/16/2020
Last updated
06/03/2025
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