Organization
SHIRES REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY SHIRES MD (MD)
(731) 660-2665
Entity
Organization
Contact information
Practice address
180 MOUNT PELIA RD, MARTIN, TN 38237-3812
(731) 660-2665
Mailing address
PO BOX 11942, JACKSON, TN 38308-0132
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/27/2020
Last updated
09/09/2020
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