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Contact Information

TULLAHOMA PEDIATRICS PLLC
1330 CEDAR LN
BLDG B SUITE 900
TULLAHOMA, TN37388-2283
 Phone: 931-455-2674
 Fax: 931-455-7594
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Rural Health

261QR1300X B4[14] Rural Health Clinic
Indicates primary specialty

NPI Profile & details for TULLAHOMA PEDIATRICS PLLC · (Female)

NPI Number 1770562142
Status Active
Credentials
Entity Individual
Enumeration date 01/12/2006
Last updated 06/14/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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