Organization Name: | HOHENWALD MEDICAL CENTER |
NPI Number: | 1225092547 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL PARKER (PARTNER) |
Mailing Address: | 20 S Park St Hohenwald |
State: | TN US |
Postal Code: | 384621413 |
Phone Number: | 9317967960 |
Fax Number: | 9317967790 |
NPI Enumeration Date: | 04/13/2006 |
NPI Last Update Date: | 10/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA0000000781 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |