| NPI | 1023257391 |
|---|---|
| Doing Business As | TULLAHOMA AFTER HOURS |
| Entity Type | Organization |
| Authorized Contact | JOSEPH RICHARD THOMASSON Physican/Owner 931-455-4616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN MD11581) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 13534) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2015-11-06 |