Individual
PHILLIP BRADLEY TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
115 E BROOKLYN ST, LINDEN, TN 37096-3515
(931) 589-2104
(931) 589-2513
Mailing address
PO BOX 916, LINDEN, TN 37096-0916
(931) 589-2104
(931) 589-2513
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN0000012073
TN
Other
Enumeration date
07/05/2006
Last updated
02/26/2020
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