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Organization
MEDINA FAMILY MEDICAL CLINIC PC
Active
Organization
MEDINA FAMILY MEDICAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MECHELLE T PERRY CFNP (OWNER)
(731) 783-0400
Entity
Organization
Contact information
Practice address
209 GRACE CV, MEDINA, TN 38355-8785
(731) 783-0400
(731) 783-0402
Mailing address
PO BOX 100, MEDINA, TN 38355-0100
(731) 783-0400
(731) 783-0402
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/30/2006
Last updated
10/30/2025
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