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TULLAHOMA PHYSICIANS GROUP PLLC NPI 1568759637


NPI Information

NPI: 1568759637
Provider Name: TULLAHOMA PHYSICIANS GROUP, PLLC
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization

CLIA Number: 44D0971512

Address:
1801 N JACKSON ST
TULLAHOMA, TN
ZIP 37388
Phone: (931) 393-3000
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TULLAHOMA PHYSICIANS GROUP, PLLC is an emergency medicine in Tullahoma, TN. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. TULLAHOMA PHYSICIANS GROUP, PLLC NPI is 1568759637. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1801 N JACKSON ST
TULLAHOMA, TN
ZIP 37388-259
Phone: (931) 393-3000
Fax: (770) 874-5483

The provider's authorized official is Christopher Brian Durham .
The authorized official title is President and has the following contact phone number (770) 874-5400.

The CLIA number assigned to this NPI record is 44D0971512 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/8/2011 and was last updated on 3/3/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.