# DYERSBURG CLINIC CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093710568
- **Authorized official:** DEBBIE T BREWER (DIRECTOR)
- **Authorized official phone:** (615) 465-7626

## Contact information

- **Practice address:** 400 E TICKLE ST, DYERSBURG, TN 38024-3120
- **Practice address phone:** (731) 288-7250
- **Practice address fax:** (731) 288-7258
- **Mailing address:** 7100 COMMERCE WAY, SUITE 180, BRENTWOOD, TN 37027-2829
- **Mailing address phone:** (615) 465-7000
- **Mailing address fax:** (615) 309-3338

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | TN | Yes |
| 207RG0100X | Gastroenterology Physician | — | NULL | — |
| 207RG0100X | Gastroenterology Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | — |
| 2086S0129X | Vascular Surgery Physician | — | — | — |
| 208800000X | Urology Physician | — | NULL | — |
| 208800000X | Urology Physician | — | — | — |

## Other

- **Enumeration date:** 06/20/2005
- **Last updated:** 08/25/2010