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Organization

DEKALB MEDICAL CLINIC LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TONYA R JENNINGS APN (AUTHORIZED OFFICIAL)
(615) 684-2157
Entity
Organization

Contact information

Practice address
518 W MAIN ST STE C, SMITHVILLE, TN 37166-1100
(615) 597-4005
(615) 597-6667
Mailing address
518 W MAIN ST STE C, SMITHVILLE, TN 37166-1100
(615) 597-4005
(615) 597-6667

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
08/18/2021
Last updated
08/18/2021
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