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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

NPI # 1811094022
LBN Legal business name INTERNAL MEDICINE ASSOCIATES OF TULLAHOMA PC
Authorized official KARLA DUNCAN - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/20/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
TN License # 4400309810
TN Medicaid 3724077
TN Other 4090988 BCBS
TN Other CH1576 RR MCR
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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