Provider Demographics
NPI:1285810812
Name:MEDICAL ARTS CENTER
Entity type:Organization
Organization Name:MEDICAL ARTS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHELIA
Authorized Official - Middle Name:G
Authorized Official - Last Name:WINTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-823-5603
Mailing Address - Street 1:521 MEDICAL DR
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:TN
Mailing Address - Zip Code:38570-1879
Mailing Address - Country:US
Mailing Address - Phone:931-823-5603
Mailing Address - Fax:931-403-0574
Practice Address - Street 1:521 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:TN
Practice Address - Zip Code:38570-1879
Practice Address - Country:US
Practice Address - Phone:931-823-5603
Practice Address - Fax:931-403-0574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-14
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty