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Organization
SHELBYVILLE CLINIC CORP
Active
Organization
SHELBYVILLE CLINIC CORP
Active
Parent organization
SHELBYVILLE CLINIC CORP
Other names
Surgical Specialty Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHELBYVILLE CLINIC CORP
Authorized official
WILLIAM S HUSSEY (CHS SR GVP)
(615) 465-7000
Entity
Organization
Contact information
Practice address
841 UNION ST, SUITE 103, SHELBYVILLE, TN 37160-2610
(931) 685-0986
Mailing address
841 UNION ST, SUITE 103, SHELBYVILLE, TN 37160-2610
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
NULL
207RP1001X
Pulmonary Disease Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
NULL
2086S0129X
Vascular Surgery Physician
—
—
Other
Enumeration date
07/31/2006
Last updated
08/07/2007
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