Tenn-Tom Med LLC
NPI #1174294797 in Burnsville, Mississippi
Provider Information
- NPI Number
- 1174294797
- Entity Type
- Organization
- Organization Name
- Tenn-Tom Med LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Sep 23, 2021
- Last Updated
- Apr 21, 2022
Practice Location
- Address
- 369 HIGHWAY 72
- City
- Burnsville
- State
- Mississippi
- ZIP Code
- 38833-9320
- Phone
- (662) 427-4040
Authorized Official
- Name
- CAMILLE WHITEHEAD, NP
- Title
- MANAGING NURSE PRACTITIONER
- Phone
- (662) 427-4040
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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