# L;YNNVILLE FAMILY MEDICAL CLINIC

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

## Provider details

- **NPI number:** 1730548983
- **Authorized official:** EDITH A WILES (OFFICE MANAGER)
- **Authorized official phone:** (931) 908-0085

## Contact information

- **Practice address:** 181 MILL ST, LYNNVILLE, TN 38472-3138
- **Practice address phone:** (931) 908-0085
- **Mailing address:** 181 MILL ST, LYNNVILLE, TN 38472-3138
- **Mailing address phone:** (931) 908-0085

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/16/2016
- **Last updated:** 02/16/2016