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1700439734
MAIN STREET MINOR MEDICAL LLC
SHELBYVILLE, TN
NPI
1700439734
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Entity Type
Organization
Authorized Contact
CRISTY D FORD
Practice Manager
931-735-6003
Organization Subpart ?
No
Primary Taxonomy
207QB0002X Family Medicine, Bariatric Medicine
Enumeration Date
2019-07-18
Last Update Date
2019-07-18
Business Address
MAIN STREET MINOR MEDICAL LLC
1121 1/2 N MAIN ST
SHELBYVILLE, TN 37160-2309
Phone number: 931-735-6003
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Mailing Address
MAIN STREET MINOR MEDICAL LLC
1121 1/2 N MAIN ST
SHELBYVILLE, TN 37160-2309
Phone number: 931-735-6003
Copy
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