| Organization Name: | DYERSBURG FAMILY WALK-IN CLINIC PC |
| NPI Number: | 1174712780 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHERYL LYN WRIGHT (OWNER / PRESIDENT) |
| Mailing Address: | 2017 Saint John Ave Suite B Dyersburg |
| State: | TN US |
| Postal Code: | 380242209 |
| Phone Number: | 7312856110 |
| Fax Number: | 7312856964 |
| NPI Enumeration Date: | 10/19/2007 |
| NPI Last Update Date: | 02/04/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 111703 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |