OrganizationActive
Main Street Minor Medical LLC
NPI 1700439734 · Obesity Medicine (Family Medicine) Physician · Shelbyville, TN
Provider details
- NPI number
- 1700439734
- Entity type
- Organization
- Primary specialty
- Obesity Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Cristy Ford, Practice Manager
Practice location
1121 1/2 N Main St
Shelbyville, TN 37160-2309
Phone: (931) 735-6003
Fax: (931) 735-6152
Mailing address
1121 1/2 N Main St
Shelbyville, TN 37160-2309
Registry dates
- Enumerated
- 2019-07-18
- Last updated
- 2019-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.