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Organization
SHELBYVILLE CLINIC CORP
Active
Organization
SHELBYVILLE CLINIC CORP
Active
Other names
Jan Crean OB/GYN
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE T BREWER (DIRECTOR OF PROVIDER ENROLLMENT)
(877) 892-9813
Entity
Organization
Contact information
Practice address
841 UNION ST, SUITE K, SHELBYVILLE, TN 37162-2611
(931) 685-5536
(931) 685-5507
Mailing address
841 UNION ST, SUITE K, SHELBYVILLE, TN 37162-2611
(931) 685-5536
(931) 685-5507
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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