| Family Clinic Of Selmer, Pc | |
|
832 Mulberry Ave Ste B Selmer TN 38375-2334 | |
| (731) 434-0201 | |
| (731) 434-0203 |
| Full Name | Family Clinic Of Selmer, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 832 Mulberry Ave Ste B, Selmer, Tennessee |
| Authorized Official Name and Position | Mary Jane Dickey (OWNER) |
| Authorized Official Contact | 7316077484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Clinic Of Selmer, Pc 832 Mulberry Ave Ste B Selmer TN 38375-2334 Ph: (731) 434-0201 | Family Clinic Of Selmer, Pc 832 Mulberry Ave Ste B Selmer TN 38375-2334 Ph: (731) 434-0201 |
| NPI Number | 1487290110 |
|---|---|
| Provider Enumeration Date | 11/18/2019 |
| Last Update Date | 01/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487290110 | NPI | - | NPPES |
| Q053134 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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