Organization
MAIN STREET FAMILY CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY C BARKER NP-C (NP/OWNER)
(731) 571-0569
Entity
Organization
Contact information
Practice address
211 CHURCH ST, TIPTONVILLE, TN 38079-1109
(731) 571-0569
Mailing address
211 CHURCH ST, TIPTONVILLE, TN 38079-1109
(731) 571-0569
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/06/2017
Last updated
10/31/2019
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