# MEDICAL SPECIALTIES PLLC

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

## Provider details

- **NPI number:** 1265294300
- **Authorized official:** ENGLISH PAIGE ROBERTS FNP (OWNER)
- **Authorized official phone:** (423) 507-7961

## Contact information

- **Practice address:** 16850 STATE HIGHWAY 58 S STE B, DECATUR, TN 37322-5259
- **Practice address phone:** (423) 507-7961
- **Mailing address:** 16850 STATE HIGHWAY 58 S STE A, DECATUR, TN 37322-5259
- **Mailing address phone:** (423) 507-7961

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/24/2024
- **Last updated:** 01/24/2024