# PERRY COUNTY MEDICAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THREE RIVERS COMMUNITY HEALTH GROUP
- **Other names:** Three Rivers Community Health Dental
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1710535703
- **Legal business name:** THREE RIVERS COMMUNITY HEALTH GROUP
- **Authorized official:** PHILLIP BRADLEY TATUM (CEO)
- **Authorized official phone:** (931) 589-2104

## Contact information

- **Practice address:** 7723 CLEARVIEW CHURCH LN STE 200, LYLES, TN 37098-1674
- **Practice address phone:** (931) 670-8318
- **Mailing address:** PO BOX 916, LINDEN, TN 37096-0916
- **Mailing address phone:** (931) 589-2104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/03/2019
- **Last updated:** 08/13/2020