Provider Demographics
NPI:1124505540
Name:EMERGENCE OF TULLAHOMA PLLC
Entity type:Organization
Organization Name:EMERGENCE OF TULLAHOMA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:RONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHRIMSHER
Authorized Official - Suffix:
Authorized Official - Credentials:CPRS
Authorized Official - Phone:931-222-4670
Mailing Address - Street 1:108 E LAUDERDALE ST
Mailing Address - Street 2:
Mailing Address - City:TULLAHOMA
Mailing Address - State:TN
Mailing Address - Zip Code:37388-4508
Mailing Address - Country:US
Mailing Address - Phone:931-222-4670
Mailing Address - Fax:931-222-4669
Practice Address - Street 1:108 E LAUDERDALE ST
Practice Address - Street 2:
Practice Address - City:TULLAHOMA
Practice Address - State:TN
Practice Address - Zip Code:37388-4508
Practice Address - Country:US
Practice Address - Phone:931-222-4670
Practice Address - Fax:931-222-4669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-27
Last Update Date:2018-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0800XAmbulatory Health Care FacilitiesClinic/CenterRecovery Care