Essential Family Medicine | |
1114 N Main St Shelbyville TN 37160-2379 | |
(931) 684-0027 | |
Not Available |
Full Name | Essential Family Medicine |
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Speciality | Clinic/Center |
Location | 1114 N Main St, Shelbyville, Tennessee |
Authorized Official Name and Position | Julie Shoemake (CO-OWNER) |
Authorized Official Contact | 9316840027 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Essential Family Medicine 1114 N Main St Shelbyville TN 37160-2379 Ph: () - | Essential Family Medicine 1114 N Main St Shelbyville TN 37160-2379 Ph: (931) 684-0027 |
NPI Number | 1265712459 |
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Provider Enumeration Date | 08/19/2011 |
Last Update Date | 08/19/2011 |
Medicare PECOS PAC ID | 3870756935 |
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Medicare Enrollment ID | O20120530000171 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265712459 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | APN0000012679 (Tennessee) | Primary |
Provider Name | Lori B Dunnavant |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144527276 PECOS PAC ID: 4688837743 Enrollment ID: I20120612000253 |
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