Westside Family Medical

NPI #1144742842 in Tullahoma, Tennessee

Provider Information

NPI Number: 1144742842
Entity Type: Organization
Organization Name: Westside Family Medical
Primary Specialty: Nurse Practitioner - Family
Enumeration Date: Jul 13, 2017
Last Updated: Jul 13, 2017

Practice Location

Address: 104 WESTSIDE DR
City: Tullahoma
State: Tennessee
ZIP Code: 37388-3253
Phone: (931) 636-3176

Authorized Official

Name: LESLIE LYNETTE MYERS, NP
Title: NURSE PRACTITIONER
Phone: (931) 636-3176

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Family — Family	363LF0000X	Primary

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