| Perry County Medical Center, Inc. | |
|
7723 Clearview Church Ln Ste 200 Lyles TN 37098-1674 | |
| (931) 670-8318 | |
| Not Available |
| Full Name | Perry County Medical Center, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7723 Clearview Church Ln Ste 200, Lyles, Tennessee |
| Authorized Official Name and Position | Phillip Bradley Tatum (CEO) |
| Authorized Official Contact | 9315892104 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Perry County Medical Center, Inc. Po Box 916 Linden TN 37096-0916 Ph: (931) 589-2104 | Perry County Medical Center, Inc. 7723 Clearview Church Ln Ste 200 Lyles TN 37098-1674 Ph: (931) 670-8318 |
| NPI Number | 1710535703 |
|---|---|
| Provider Enumeration Date | 09/03/2019 |
| Last Update Date | 08/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710535703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Hickman Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5103 Highway 100, Lyles, TN 37098 Phone: 931-670-5961 |