Genesis Medical Clinic LLC
NPI #1306016274 in Shelbyville, Tennessee
Provider Information
- NPI Number
- 1306016274
- Entity Type
- Organization
- Organization Name
- Genesis Medical Clinic LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Mar 7, 2008
- Last Updated
- May 13, 2016
Practice Location
- Address
- 220 W CEDAR ST
- City
- Shelbyville
- State
- Tennessee
- ZIP Code
- 37160-2838
- Phone
- (931) 684-4153
Authorized Official
- Name
- ALMA M TAMULA, MD
- Title
- SOLE PROPRIETOR PHYSICIAN
- Phone
- (931) 684-4153
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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