| Medical Home Primary Care, Pllc | |
|
1 Calsonic Way Shelbyville TN 37160-2031 | |
| (615) 427-4220 | |
| Not Available |
| Full Name | Medical Home Primary Care, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1 Calsonic Way, Shelbyville, Tennessee |
| Authorized Official Name and Position | Dillon Poss (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 6154274220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Home Primary Care, Pllc 1041 N Highland Ave Murfreesboro TN 37130-2450 Ph: (615) 427-4220 | Medical Home Primary Care, Pllc 1 Calsonic Way Shelbyville TN 37160-2031 Ph: (615) 427-4220 |
| NPI Number | 1114273794 |
|---|---|
| Provider Enumeration Date | 08/01/2012 |
| Last Update Date | 08/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114273794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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