Provider Demographics
NPI:1760861546
Name:TOBEY CLINIC LLC
Entity Type:Organization
Organization Name:TOBEY CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:BETH
Authorized Official - Middle Name:
Authorized Official - Last Name:TOBEY
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC
Authorized Official - Phone:901-465-8333
Mailing Address - Street 1:PO BOX 372
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:TN
Mailing Address - Zip Code:38060-0372
Mailing Address - Country:US
Mailing Address - Phone:901-465-8333
Mailing Address - Fax:901-465-8006
Practice Address - Street 1:70 CLAY ST
Practice Address - Street 2:ST 5
Practice Address - City:OAKLAND
Practice Address - State:TN
Practice Address - Zip Code:38060-5219
Practice Address - Country:US
Practice Address - Phone:901-465-8333
Practice Address - Fax:901-465-8006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-26
Last Update Date:2015-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5592363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty