Medical Home Primary Care, Pllc

NPI #1114273794 in Shelbyville, Tennessee

Provider Information

NPI Number: 1114273794
Entity Type: Organization
Organization Name: Medical Home Primary Care, Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Aug 1, 2012
Last Updated: Aug 1, 2012

Practice Location

Address: 1 CALSONIC WAY
City: Shelbyville
State: Tennessee
ZIP Code: 37160-2031
Phone: (615) 427-4220

Authorized Official

Name: MR. DILLON POSS
Title: PRACTICE ADMINISTRATOR
Phone: (615) 427-4220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Nurse Practitioner	363L00000X
Internal Medicine	207R00000X	Primary

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