Main Street Family Care Pllc
NPI #1770012676 in Tiptonville, Tennessee
Provider Information
- NPI Number
- 1770012676
- Entity Type
- Organization
- Organization Name
- Main Street Family Care Pllc
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Jun 6, 2017
- Last Updated
- Oct 31, 2019
Practice Location
- Address
- 211 CHURCH ST
- City
- Tiptonville
- State
- Tennessee
- ZIP Code
- 38079-1109
- Phone
- (731) 571-0569
Authorized Official
- Name
- MISTY C BARKER, NP-C
- Title
- NP/OWNER
- Phone
- (731) 571-0569
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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