Organization
DYERSBURG CLINIC CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE T BREWER (DIRECTOR)
(615) 465-7626
Entity
Organization
Contact information
Practice address
400 E TICKLE ST, DYERSBURG, TN 38024-3120
(731) 288-7250
(731) 288-7258
Mailing address
7100 COMMERCE WAY, SUITE 180, BRENTWOOD, TN 37027-2829
(615) 465-7000
(615) 309-3338
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
TN
207RG0100X
Gastroenterology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208800000X
Urology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3718531
—
TN
01
—
4085237
BCBS
TN
Enumeration date
06/20/2005
Last updated
08/25/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us