Tullahoma Urology Center, P.L.L.C.

LBN: Tullahoma Urology Center, P.L.L.C.
Tullahoma Urology Center, P.L.L.C. is an health care organization with primary practice located at 107 Ledford Mill Rd Suite 210, Tullahoma TN 37388-2278. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Tullahoma Urology Center, P.L.L.C. can be contacted via phone (931) 454-1955, or through Burson, Mark Lloyd via phone (931) 454-1955.

Contact Information

Primary practice address
107 Ledford Mill Rd Suite 210 Tullahoma TN 37388-2278
Phone: (931) 454-1955
Fax: (931) 454-1956
Website:
Map and Directions
Authorized official contact:
Name: Burson, Mark Lloyd Doctor of Medicine (MD)
Phone: (931) 454-1955

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 40439 Tennessee

Profile Details

NPI number 1720060841
LBN Legal business name Tullahoma Urology Center, P.L.L.C.
DBA Doing business as
Authorized official Burson, Mark Lloyd Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2005
Last updated Jun 17th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720060841 NPPES
Tennessee Other 4116328 BCBS/TN

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