Organization
MCNAIRY 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
705 E POPLAR AVE, SELMER, TN 38375-1828
(731) 646-0181
Mailing address
7100 COMMERCE WAY, SUITE 180, BRENTWOOD, TN 37027-2829
(615) 465-7000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
TN
207R00000X
Internal Medicine Physician
—
TN
207V00000X
Obstetrics & Gynecology Physician
—
—
261Q00000X
Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07837872
—
MS
05
—
3733987
—
TN
Enumeration date
05/05/2006
Last updated
10/14/2008
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