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

Tullahoma Urology Center, PLLC

Organization Urology Physician · NPI 1720060841

Tullahoma Urology Center, PLLC is an Urology Physician 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?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

107 Ledford Mill Rd Ste 210
Tullahoma, TN 37388-2278
Phone: (931) 454-1955
Fax: (931) 454-1956
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 40439 (TN)

Record details

NPI number1720060841
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Burson — Owner · (931) 454-1955
NPI enumeratedNovember 15, 2005
Last updated in NPPESJune 17, 2010
Mailing addressPo Box 1718, Tullahoma, TN 37388-1718

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