South Medical Clinic LLC

NPI #1275168817 in Lewisburg, Tennessee

Provider Information

NPI Number: 1275168817
Entity Type: Organization
Organization Name: South Medical Clinic LLC
Primary Specialty: Family Medicine
Enumeration Date: Mar 4, 2020
Last Updated: Mar 4, 2020

Practice Location

Address: 118 2ND AVE SOUTH
City: Lewisburg
State: Tennessee
ZIP Code: 37091
Phone: (931) 422-5029

Authorized Official

Name: EDITH ANN WILES
Title: OFFICE MANAGER
Phone: (931) 422-5029

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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