Organization
SHELBYVILLE HOSPITAL COMPANY LLC
Active
Other names
Tennova Pediatrics-Cedar Ln
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA LALOR (DIRECTOR)
(615) 925-4565
Entity
Organization
Contact information
Practice address
1440 CEDAR LN UNIT 100, TULLAHOMA, TN 37388-2262
(931) 393-7060
(931) 222-4303
Mailing address
1440 CEDAR LN UNIT 100, TULLAHOMA, TN 37388-2262
(931) 393-7060
(931) 222-4303
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
0000000002
TN
Other
Enumeration date
01/19/2018
Last updated
03/09/2018
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