Organization
SHELBYVILLE HOSPITAL COMPANY LLC
Active
Other names
Tennova Internal Medicine-N Jackson
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA LALOR (DIRECTOR)
(615) 925-4565
Entity
Organization
Contact information
Practice address
1805 N JACKSON ST STE 100, TULLAHOMA, TN 37388-2291
(931) 455-7767
(931) 455-8636
Mailing address
1805 N JACKSON ST STE 100, TULLAHOMA, TN 37388-2291
(931) 455-7767
(931) 455-8636
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
0000000002
TN
Other
Enumeration date
01/19/2018
Last updated
01/25/2018
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