Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

South Medical Clinic LLC

Organization Family Medicine Physician · NPI 1275168817

South Medical Clinic LLC provides Family Medicine Physician services in Lewisburg, Tennessee. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

118 2nd Ave S
Lewisburg, TN 37091
Phone: (931) 422-5029
Fax: (931) 422-5229
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1275168817
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edith Wiles — Office Manager · (931) 422-5029
NPI enumeratedMarch 4, 2020
Last updated in NPPESMarch 4, 2020
Certification dateMarch 4, 2020
Mailing address118 2nd Ave South, Lewisburg, TN 37091

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