Organization
NORTH MAIN MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA R LEARY (CREDENTIALING MANAGER)
(931) 248-1414
Entity
Organization
Contact information
Practice address
181 MATHERLY ST, CROSSVILLE, TN 38555-1001
(931) 644-5423
(931) 710-5728
Mailing address
PO BOX 3350, CROSSVILLE, TN 38557-3350
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/21/2020
Last updated
05/18/2026
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