Maxmed Care Services

NPI #1336605864 in Tullahoma, Tennessee

Provider Information

NPI Number: 1336605864
Entity Type: Organization
Organization Name: Maxmed Care Services
Primary Specialty: Nurse Practitioner
Enumeration Date: Feb 20, 2019
Last Updated: Feb 20, 2019

Practice Location

Address: 1950 N JACKSON ST
City: Tullahoma
State: Tennessee
ZIP Code: 37388-2204
Phone: (931) 393-2362

Authorized Official

Name: HEATHER C BOHANNON-IYAMA, NP
Title: MEMBER
Phone: (931) 393-2362

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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