Paris Henry County Clinic, S.C.

Organization Active NPI General Practice Physician · Paris, TN

NPI 1396709283 · NPPES record last updated Sep 12, 2008

Key facts

NPI
1396709283
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Physician 208D00000X
Legal business name
PARIS HENRY COUNTY CLINIC, S.C.
Practice address
305 Tyson Ave
Paris, TN 38242-4579
Phone
(731) 642-0025
Fax
(731) 644-0899
NPI assigned
Apr 17, 2006
Organization subpart
No

Authorized official

Name
Mrs. Susan Stubblefield
Title
Assistant Business Manager
Phone
(731) 642-0025

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

305 Tyson Ave
Paris, TN 38242
Phone (731) 642-0025

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207R00000X
General Practice Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208D00000X Yes
Family Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LF0000X 0000005352 TN

Addresses

Primary practice location

305 Tyson Ave
Paris, TN 38242-4579

Mailing address

305 Tyson Ave
Paris, TN 38242-4579
Phone (731) 642-0025

Other identifiers

IdentifierTypeStateIssuer
3723940MedicaidTN

Other providers in Paris, TN

All providers in Paris, TN · General Practice Physician in Tennessee

Sources for this page

Verify at the official NPI Registry.