State Of Tennessee

Specialty details in registry · Altamont, TN

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At a glance

1372 Main Street, Altamont, TN 37301

NPPES record updated Feb 8, 2022. Public records can lag behind changes at a practice.

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Practice location

1372 Main Street
Altamont, TN 37301
Professional details: NPI, taxonomy & registry record
NPI1275670879
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
251K00000X
Enumeration date
Jan 31, 2007
Record updated
Feb 8, 2022
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

251K00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1372 Main Street
Altamont, TN 37301
Phone
(931) 692-3641
Fax
(931) 692-2201
Mailing address
1372 MAIN STREET
P.O. BOX 65
ALTAMONT, TN 373010065
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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