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Organization
MAGNUSON-STIMPSON MEDICAL CLINIC
Active
Organization
MAGNUSON-STIMPSON MEDICAL CLINIC
Active
Other names
Magnuson-Stimpson Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL L. MAGNUSON M.D. (GENERAL PARTNER)
(931) 685-4060
Entity
Organization
Contact information
Practice address
1701 N MAIN ST, SUITE D, SHELBYVILLE, TN 37160-2303
(931) 685-4060
(931) 685-4062
Mailing address
1701 N MAIN ST, SUITE D, SHELBYVILLE, TN 37160-2303
(931) 685-4060
(931) 685-4062
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD15929
TN
208000000X
Pediatrics Physician
MD19528
TN
Other
Enumeration date
01/04/2007
Last updated
06/01/2010
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