Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Berkshire Plastic Surgeons PLLC

Organization Plastic Surgery Physician · NPI 1649373929

Berkshire Plastic Surgeons PLLC is a Plastic Surgery Physician in Tullahoma, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

105 Ledford Mill Rd Ste B
Tullahoma, TN 37388-8261
Phone: (931) 841-3311
Fax: (931) 841-3314
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence MD44645 (TN)

Record details

NPI number1649373929
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Haidak — Owner · (931) 841-3311
NPI enumeratedSeptember 5, 2006
Last updated in NPPESSeptember 13, 2013
Mailing addressPo Box 220, Tullahoma, TN 37388

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