Organization
SHELBYVILLE MEDICAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH H. RUPARD M.D. (OWNER)
(931) 685-1145
Entity
Organization
Contact information
Practice address
221 LANE PARKWAY, SHELBYVILLE, TN 37160
(931) 685-1145
(931) 685-8014
Mailing address
P.O. BOX 1279, SHELBYVILLE, TN 37162-2607
(931) 685-1145
(931) 685-8014
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD024783
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q0195517
—
TN
Enumeration date
09/18/2014
Last updated
05/16/2016
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