Organization
PARIS HENRY COUNTY CLINIC, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN STUBBLEFIELD (ASSISTANT BUSINESS MANAGER)
(731) 642-0025
Entity
Organization
Contact information
Practice address
305 TYSON AVE, PARIS, TN 38242-4579
(731) 642-0025
(731) 644-0899
Mailing address
305 TYSON AVE, PARIS, TN 38242-4579
(731) 642-0025
(731) 644-0899
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
0000005352
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3723940
—
TN
Enumeration date
04/17/2006
Last updated
09/12/2008
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