| Tennova Family Care-madison St | |
|
1401 Madison St Shelbyville TN 37160-3629 | |
| (931) 685-2025 | |
| (931) 680-9710 |
| Full Name | Tennova Family Care-madison St |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1401 Madison St, Shelbyville, Tennessee |
| Authorized Official Name and Position | Paula M Lalor (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Contact | 6159254565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tennova Family Care-madison St 1401 Madison St Shelbyville TN 37160-3629 Ph: (931) 685-2025 | Tennova Family Care-madison St 1401 Madison St Shelbyville TN 37160-3629 Ph: (931) 685-2025 |
| NPI Number | 1427576321 |
|---|---|
| Provider Enumeration Date | 08/31/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427576321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 0000000002 (Tennessee) | Primary |
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Digestive Healthcare Of Middle Tennessee Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 Airport Business Park Drive, Suite G, Shelbyville, TN 37160 Phone: 931-735-6036 Fax: 931-735-6293 | |
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