| Maury Regional Medical Group, Inc | |
|
1218 Trotwood Ave Columbia TN 38401-6406 | |
| (931) 380-4114 | |
| (931) 380-4106 |
| Full Name | Maury Regional Medical Group, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1218 Trotwood Ave, Columbia, Tennessee |
| Authorized Official Name and Position | Pamela L Dawson (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 9314907019 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maury Regional Medical Group, Inc 854 W James M Campbell Blvd Ste 303 Columbia TN 38401-4672 Ph: (931) 540-4255 | Maury Regional Medical Group, Inc 1218 Trotwood Ave Columbia TN 38401-6406 Ph: (931) 380-4114 |
| NPI Number | 1962055947 |
|---|---|
| Provider Enumeration Date | 07/19/2019 |
| Last Update Date | 07/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962055947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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