Organization
FAMILY CLINIC OF SELMER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY JANE DICKEY MD (OWNER)
(731) 607-7484
Entity
Organization
Contact information
Practice address
832 MULBERRY AVE STE B, SELMER, TN 38375-2334
(731) 434-0201
(731) 434-0203
Mailing address
832 MULBERRY AVE STE B, SELMER, TN 38375-2334
(731) 434-0201
(731) 434-0203
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q053134
—
TN
Enumeration date
11/18/2019
Last updated
01/27/2020
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