Lincoln Tree Medical Clinic Of Tullahoma, Pllc

LBN: Proxima Centauri, Pllc
Lincoln Tree Medical Clinic Of Tullahoma, Pllc is an health care organization with primary practice located at 1600 Mcarthur St , Manchester TN 37355-2522. The organization recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Ambulatory Health Care Facilities / Pain, Physician Assistants & Advanced Practice Nursing Providers / Medical. Ambulatory Health Care Facilities / Pain is the primary health care specialty. Proxima Centauri, Pllc can be contacted via phone (931) 723-7950, or through Roth, James Edwards via phone (931) 723-7950.

Contact Information

Primary practice address
1600 Mcarthur St Manchester TN 37355-2522
Phone: (931) 723-7950
Fax: (931) 723-7950
Website:
Map and Directions
Authorized official contact:
Name: Roth, James Edwards Doctor of Medicine (MD)
Phone: (931) 723-7950

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X
Ambulatory Health Care Facilities / Pain 261QP3300X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1982972857
LBN Legal business name Proxima Centauri, Pllc
DBA Doing business as Lincoln Tree Medical Clinic Of Tullahoma, Pllc
Authorized official Roth, James Edwards Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 7th, 2011
Last updated Oct 31st, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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