Organization
HEALTHY KIDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMER LOLEH M.D. (OWNER)
(931) 684-2802
Entity
Organization
Contact information
Practice address
220 W CEDAR ST, SHELBYVILLE, TN 37160-2838
(931) 684-2802
(877) 671-2402
Mailing address
220 W CEDAR ST, SHELBYVILLE, TN 37160-2838
(931) 684-2802
(877) 671-2402
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
37838
TN
Other
Enumeration date
05/19/2010
Last updated
01/09/2020
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