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Jeffrey Blaine Marvel, MD
Specialist in Tullahoma, Tennessee
NPI 1740285063

Jeffrey Blaine Marvel is a Specialist based in Tullahoma, TN. Jeffrey Blaine Marvel practices in Tullahoma, TN and has the professional credentials of MD. The NPI Number for Jeffrey Blaine Marvel is 1740285063 and holds a License No. 29420 (Tennessee).

The current practice location address for Jeffrey Blaine Marvel is 1821 N Washington St, Tullahoma, TN and can be reached out via phone at 931-455-2005 and via fax at 931-455-4450.

Location: 1821 N Washington St, Tullahoma, TN, 37388-2221
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740285063
Provider Name
Jeffrey Blaine Marvel
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1821 N Washington St, Tullahoma, TN, 37388-2221
Phone Number
931-455-2005
Fax Number
931-455-4450
Provider Enumeration Date
06/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3812095 05 TN
3057919 01 TN BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1821 N Washington St
City
Tullahoma
State
Tennessee
Zip
37388-2221
Phone Number
931-455-2005
Fax Number
931-455-4450
person
Provider Business Mailing Address Details
Address
1821 N Washington St
City
Tullahoma
State
Tennessee
Zip
37388-2221
Phone Number
931-455-2005
Fax Number
931-455-4450
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
29420 (Tennessee)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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