| South Medical Clinic Llc | |
|
118 2nd Ave South Lewisburg TN 37091 | |
| (931) 422-5029 | |
| (931) 422-5229 |
| Full Name | South Medical Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 118 2nd Ave South, Lewisburg, Tennessee |
| Authorized Official Name and Position | Edith Ann Wiles (OFFICE MANAGER) |
| Authorized Official Contact | 9314225029 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Medical Clinic Llc 118 2nd Ave South Lewisburg TN 37091 Ph: (931) 422-5029 | South Medical Clinic Llc 118 2nd Ave South Lewisburg TN 37091 Ph: (931) 422-5029 |
| NPI Number | 1275168817 |
|---|---|
| Provider Enumeration Date | 03/04/2020 |
| Last Update Date | 03/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275168817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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