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NPI Code Detail

MEDICARE: SHRINKTY MEDICAL SERVICES, LLC

MEDICARE: SHRINKTY MEDICAL SERVICES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2207QA0401XAddiction Medicine (Family Medicine) Physician
32084B0040XBehavioral Neurology & Neuropsychiatry Physician
4261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
52084P0800XPsychiatry Physician
6101YA0400XAddiction (Substance Use Disorder) Counselor
7324500000XSubstance Abuse Rehabilitation Facility

General Provider Information

NPI Number : 1568190890
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHRINKTY MEDICAL SERVICES, LLC
Provider Business Mailing Address
First Line : 1222 BATBRIAR RD
Second Line :
City : MURFREESBORO
State : TN
Zip : 37128-2982
Country : US
Telephone Number : 615-716-8255
Fax Number : 615-893-9969
Provider Business Practice Location Address
First Line : 2462 OLD FORT PKWY
Second Line :
City : MURFREESBORO
State : TN
Zip : 37128-4163
Country : US
Telephone Number : 615-716-8255
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JOSHUA DAVENPORT
Credential : PA-C
Telephone Number : 615-716-8255
Provider Enumeration Date : 08/14/2022
Last Update Date : 06/01/2026

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Directions to “SHRINKTY MEDICAL SERVICES, LLC ” Practice Location

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