| NPI | 1174576920 |
|---|---|
| Doing Business As | TULLAHOMA LASER CENTER |
| Entity Type | Organization |
| Authorized Contact | CHARLES E ANDERSON President 931-393-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TN MD14122) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-22 |