# SHELBYVILLE MEDICAL GROUP, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699177956
- **Authorized official:** JOSEPH H. RUPARD M.D. (OWNER)
- **Authorized official phone:** (931) 685-1145

## Contact information

- **Practice address:** 221 LANE PARKWAY, SHELBYVILLE, TN 37160
- **Practice address phone:** (931) 685-1145
- **Practice address fax:** (931) 685-8014
- **Mailing address:** P.O. BOX 1279, SHELBYVILLE, TN 37162-2607
- **Mailing address phone:** (931) 685-1145
- **Mailing address fax:** (931) 685-8014

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD024783 | TN | Yes |

## Other

- **Enumeration date:** 09/18/2014
- **Last updated:** 05/16/2016
