Michie Medical Clinic, INC.
Clinic/Center, Rural Health in Michie, TN. Organization (NPI-2).
NPI number1861695900
StatusActive
Last updated in NPPESSep 23, 2025
Details
- NPI
- 1861695900
- Entity type
- Organization (NPI-2)
- Legal business name
- Michie Medical Clinic, INC.
- Organization subpart
- No
- Enumeration date
- Jun 6, 2007
- Certification date
- Sep 23, 2025
- Last updated
- Sep 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR1300X | Clinic/Center, Rural Health | – | – | Yes |
| 261QP2300X | Clinic/Center, Primary Care | APN0000006617 | TN |
Practice location
6659 Michie Pebble Hill RdMichie, TN 38357-5115
Phone 731-632-1783
Mailing address
6659 Michie Pebble Hill RdMichie, TN 38357-5115
Phone 731-632-1783 · Fax 731-632-1786
Authorized official
Brandon K Sumler
Director
7316321783
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