# MAGNUSON-STIMPSON MEDICAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Magnuson-Stimpson Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346397064
- **Authorized official:** DR. CAROL L. MAGNUSON M.D. (GENERAL PARTNER)
- **Authorized official phone:** (931) 685-4060

## Contact information

- **Practice address:** 1701 N MAIN ST, SUITE D, SHELBYVILLE, TN 37160-2303
- **Practice address phone:** (931) 685-4060
- **Practice address fax:** (931) 685-4062
- **Mailing address:** 1701 N MAIN ST, SUITE D, SHELBYVILLE, TN 37160-2303
- **Mailing address phone:** (931) 685-4060
- **Mailing address fax:** (931) 685-4062

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD15929 | TN | Yes |
| 208000000X | Pediatrics Physician | MD19528 | TN | — |

## Other

- **Enumeration date:** 01/04/2007
- **Last updated:** 06/01/2010