PROXIMA CENTAURI, PLLC

MANCHESTER, TN
NPI1982972857
Doing Business AsLINCOLN TREE MEDICAL CLINIC OF TULLAHOMA, PLLC
Entity TypeOrganization
Authorized ContactJAMES EDWARDS ROTH
President
931-723-7950
Organization Subpart ?No
Primary Taxonomy261QP3300X Clinic/Center, Pain
Additional Taxonomies363AM0700X Physician Assistant, Medical
111N00000X Chiropractor
Enumeration Date2011-12-07
Last Update Date2012-10-31
Business Address
PROXIMA CENTAURI, PLLC
1600 MCARTHUR ST
MANCHESTER, TN 37355-2522
Phone number: 931-723-7950
Mailing Address
PROXIMA CENTAURI, PLLC
PO BOX 437
MANCHESTER, TN 37349-0437
Phone number: 931-723-7950