Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Marvel Clinic PC

Organization Specialist · NPI 1760487086

Marvel Clinic PC provides Specialist services in Tullahoma, Tennessee. Licensed in Tennessee. Registered with an NPI since 2005.

Licensed in
TN
In the registry since
2005
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1821 N Washington St
Tullahoma, TN 37388-2221
Phone: (931) 455-2005
Fax: (931) 455-4450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (TN)

Record details

NPI number1760487086
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracy Wilkins — Credentialing Facilitator · (931) 461-5056
NPI enumeratedJune 14, 2005
Last updated in NPPESAugust 22, 2020
Mailing address1821 N Washington St, Tullahoma, TN 37388-2221

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