Marvel Clinic P.c.

NPI #1760487086 in Tullahoma, Tennessee

Provider Information

NPI Number: 1760487086
Entity Type: Organization
Organization Name: Marvel Clinic P.c.
Primary Specialty: Specialist
Enumeration Date: Jun 14, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 1821 N WASHINGTON ST
City: Tullahoma
State: Tennessee
ZIP Code: 37388-2221
Phone: (931) 455-2005

Authorized Official

Name: TRACY DAWN WILKINS
Title: CREDENTIALING FACILITATOR
Phone: (931) 461-5056

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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Joann M Barker	Specialist	Tullahoma	AI Deep Dive

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