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1275168817
SOUTH MEDICAL CLINIC LLC
LEWISBURG, TN
NPI
1275168817
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Entity Type
Organization
Authorized Contact
EDITH ANN WILES
Office Manager
931-422-5029
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2020-03-04
Last Update Date
2020-03-04
Business Address
SOUTH MEDICAL CLINIC LLC
118 2ND AVE SOUTH
LEWISBURG, TN 37091
Phone number: 931-422-5029
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Mailing Address
SOUTH MEDICAL CLINIC LLC
118 2ND AVE SOUTH
LEWISBURG, TN 37091
Phone number: 931-422-5029
Copy
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