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Organization

IMMEDIATE CARE CLINIC, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANITA SUSAN PHILIPOSE ARNP (NURSE PRACTITIONER/OWNER)
15024174956
Entity
Organization

Contact information

Practice address
1303 N MAIN ST, STE C, SHELBYVILLE, TN 37160-2331
(931) 685-0072
(931) 685-0074
Mailing address
1303 N MAIN ST, STE C, SHELBYVILLE, TN 37160-2331
(931) 685-0072
(931) 685-0074

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
13535
TN
261QP2300X
Primary Care Clinic/Center
13535
TN
261QU0200X
Urgent Care Clinic/Center
13535
TN

Other

Enumeration date
04/24/2009
Last updated
11/12/2009
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