| Organization Name: | JRT MEDICAL GROUP, PLLC |
| NPI Number: | 1023257391 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSEPH RICHARD THOMASSON (PHYSICAN/OWNER) |
| Mailing Address: | 100 Hunters Lane Suite 100 Tullahoma |
| State: | TN US |
| Postal Code: | 373880000 |
| Phone Number: | 9314554616 |
| Fax Number: | 9314552362 |
| NPI Enumeration Date: | 02/11/2009 |
| NPI Last Update Date: | 11/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 13534 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |