MAIN STREET MINOR MEDICAL LLC

SHELBYVILLE, TN
NPI1700439734
Entity TypeOrganization
Authorized ContactCRISTY D FORD
Practice Manager
931-735-6003
Organization Subpart ?No
Primary Taxonomy207QB0002X Family Medicine, Bariatric Medicine
Enumeration Date2019-07-18
Last Update Date2019-07-18
Business Address
MAIN STREET MINOR MEDICAL LLC
1121 1/2 N MAIN ST
SHELBYVILLE, TN 37160-2309
Phone number: 931-735-6003
Mailing Address
MAIN STREET MINOR MEDICAL LLC
1121 1/2 N MAIN ST
SHELBYVILLE, TN 37160-2309
Phone number: 931-735-6003