| Genesis Medical Clinic Llc | |
|
220 W Cedar St Shelbyville TN 37160-2838 | |
| (931) 684-4153 | |
| (888) 371-5180 |
| Full Name | Genesis Medical Clinic Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 220 W Cedar St, Shelbyville, Tennessee |
| Authorized Official Name and Position | Alma M Tamula (SOLE PROPRIETOR PHYSICIAN) |
| Authorized Official Contact | 9316844153 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Medical Clinic Llc 220 W Cedar St Shelbyville TN 37160-2838 Ph: (931) 684-4153 | Genesis Medical Clinic Llc 220 W Cedar St Shelbyville TN 37160-2838 Ph: (931) 684-4153 |
| NPI Number | 1306016274 |
|---|---|
| Provider Enumeration Date | 03/07/2008 |
| Last Update Date | 05/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306016274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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