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Organization
THE LITTLE CLINIC OF TENNESSEE LLC
Active
Organization
THE LITTLE CLINIC OF TENNESSEE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS SHELLY (VP & GENERAL MANGER)
(615) 425-4200
Entity
Organization
Contact information
Practice address
510 HIGHWAY 76, WHITE HOUSE, TN 37188-9203
(615) 581-5089
(615) 581-5096
Mailing address
PO BOX 932958, CLEVELAND, OH 44193-0028
(615) 425-4200
(615) 891-5244
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3370259
—
TN
Enumeration date
08/29/2007
Last updated
10/22/2025
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