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Contact Information

INTERNAL MEDICINE ASSOCIATES OF TULLAHOMA PC
1805 N JACKSON ST
BLDG A SUITE 100
TULLAHOMA, TN37388
 Phone: 931-455-7767
 Fax: 931-455-8636
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for INTERNAL MEDICINE ASSOCIATES OF TULLAHOMA PC · (Female)

NPI Number 1811094022
Status Active
Credentials
Entity Individual
Enumeration date 09/20/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • TN License # 4400309810
  • TN Medicaid 3724077
  • TN Other 4090988 BCBS
  • TN Other CH1576 RR MCR
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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