OrganizationActive
Berkshire Plastic Surgeons PLLC
NPI 1649373929 · Plastic Surgery Physician · Tullahoma, TN
Provider details
- NPI number
- 1649373929
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Paul Haidak, Owner(931) 841-3311
- License
- MD44645 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
105 Ledford Mill Rd
Suite B
Tullahoma, TN 37388-8261
Phone: (931) 841-3311
Fax: (931) 841-3314
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 220
Tullahoma, TN 37388
Registry dates
- Enumerated
- 2006-09-05
- Last updated
- 2013-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.