Organization · Type 2 NPI

Medical Specialty Clinic P.c.

Family Medicine Physician · Jackson, TN

NPI number 1104877703 Active

Practice location

27 Medical Center Dr
Jackson, TN 38301-3949

Call (731) 424-1001 Map

Fax (731) 424-0774

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician 207N00000XNone listed
Family Medicine Physician Primary 207Q00000X29728 (TN)
Cardiovascular Disease Physician 207RC0000XNone listed
Gastroenterology Physician 207RG0100XNone listed
Hematology & Oncology Physician 207RH0003XNone listed
Pulmonary Disease Physician 207RP1001XNone listed
Nuclear Imaging & Therapy Physician 207UN0902XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6 other providers at this address

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About NPI 1104877703

Medical Specialty Clinic P.c.'s National Provider Identifier is 1104877703, issued on May 16, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Jackson, TN. The record was last updated on Sep 11, 2025.