Dekalb Medical Clinic LLP
NPI #1700552890 in Smithville, Tennessee
Provider Information
- NPI Number
- 1700552890
- Entity Type
- Organization
- Organization Name
- Dekalb Medical Clinic LLP
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 18, 2021
- Last Updated
- Aug 18, 2021
Practice Location
- Address
- 518 W MAIN ST STE C
- City
- Smithville
- State
- Tennessee
- ZIP Code
- 37166-1100
- Phone
- (615) 597-4005
Authorized Official
- Name
- TONYA R JENNINGS, APN
- Title
- AUTHORIZED OFFICIAL
- Phone
- (615) 684-2157
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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