The Pediatric Center Of Tullahoma, Pc

NPI 1033105051 - Pediatrics - 208000000X

NPI Details
NPI 1033105051
Enumeration Date 09/26/2005
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name AMY LYNNE AMY
Position INSURANCE MANAGER
Phone (931) 455-7044
Fax (931) 455-7043
Practice Location
710 KINGS LN
TULLAHOMA TN, 37388-5395, US
Phone (931) 455-7044
Fax (931) 455-7043
Business Location
710 KINGS LN
TULLAHOMA TN, 37388-5395, US
Phone (931) 455-7044
Fax (931) 455-7043
Toxanomy
Taxonomy Code 208000000X
License State
License Number
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According to our database, The Pediatric Center Of Tullahoma, Pc NPI is 1033105051, taxonomy code is 208000000X The Pediatric Center Of Tullahoma, Pc physically located at 710 Kings Ln, Tullahoma TN, 37388-5395. NPI Number 1033115704 has the healthcare provider type.

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1033105051 NPI number is provided on an as is basis without warranty of any kind. 1033105051 is maintained by the National Plan & Provider Enumeration System. The contents of The Pediatric Center Of Tullahoma, Pc are for informational purposes only.