# MICHIE MEDICAL CLINIC, INC.

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

## Provider details

- **NPI number:** 1861695900
- **Authorized official:** BRANDON K SUMLER (DIRECTOR)
- **Authorized official phone:** (731) 632-1783

## Contact information

- **Practice address:** 6659 MICHIE PEBBLE HILL RD, MICHIE, TN 38357-5115
- **Practice address phone:** (731) 632-1783
- **Mailing address:** 6659 MICHIE PEBBLE HILL RD, MICHIE, TN 38357-5115
- **Mailing address phone:** (731) 632-1783
- **Mailing address fax:** (731) 632-1786

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | APN0000006617 | TN | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/06/2007
- **Last updated:** 09/23/2025