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Westside Family Medical
Family Nurse Practitioner in Tullahoma, Tennessee
NPI 1144742842

Westside Family Medical is a Family Nurse Practitioner based in Winchester, TN and is specialized in Family. Westside Family Medical practices in Tullahoma, TN. The NPI Number for Westside Family Medical is 1144742842 and holds a License No. 20413 (Tennessee).

The current practice location address for Westside Family Medical is 104 Westside Dr, Tullahoma, TN and can be reached out via phone at 931-636-3176.

Location: 104 Westside Dr, Tullahoma, TN, 37398-2566
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144742842
Provider Name
Westside Family Medical
Credential
Provider Entity Type
Organization
Address
104 Westside Dr, Tullahoma, TN, 37398-2566
Phone Number
931-636-3176
Fax Number
Provider Enumeration Date
07/13/2017
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1255720421 05 TN
1053780478 05 TN
institution
Provider Business Practice Location Address Details
Address
104 Westside Dr
City
Tullahoma
State
Tennessee
Zip
37388-3253
Phone Number
931-636-3176
Fax Number
person
Provider Business Mailing Address Details
Address
104 Westside Dr
City
Tullahoma
State
Tennessee
Zip
37388-3253
Phone Number
931-636-3176
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
20413 (Tennessee)
Definition
Definition to come...
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