| Lana S. Beavers, Md, Llc | |
|
885 Union St Suite A Shelbyville TN 37160-2607 | |
| (931) 684-8469 | |
| (931) 684-8472 |
| Full Name | Lana S. Beavers, Md, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 885 Union St, Shelbyville, Tennessee |
| Authorized Official Name and Position | Lana Sharon Beavers (SINGLE MEMBER LLC) |
| Authorized Official Contact | 9316848469 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lana S. Beavers, Md, Llc 885 Union St Suite A Shelbyville TN 37160-2607 Ph: (931) 684-8469 | Lana S. Beavers, Md, Llc 885 Union St Suite A Shelbyville TN 37160-2607 Ph: (931) 684-8469 |
| NPI Number | 1144465279 |
|---|---|
| Provider Enumeration Date | 12/03/2008 |
| Last Update Date | 12/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144465279 | NPI | - | NPPES |
| PENDING | Other | TN | MEDICARE PROVIDER NUMBER PENDING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD0000008506 (Tennessee) | Primary |
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