MEDICAL CLINIC OF LEWISBURG LLC

LEWISBURG, TN
NPI1609109222
Entity TypeOrganization
Authorized ContactLOUIS A SHONE
Manager
931-675-9032
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
Enumeration Date2009-09-14
Last Update Date2009-09-14
Business Address
MEDICAL CLINIC OF LEWISBURG LLC
122 E COMMERCE ST
LEWISBURG, TN 37091-3340
Phone number: 931-675-9032
Mailing Address
MEDICAL CLINIC OF LEWISBURG LLC
PO BOX 2425
LEWISBURG, TN 37091-1425
Phone number: