Organization · Type 2 NPI

Internal Medicine Clinic of Jackson PLLC

Primary Care Clinic/Center · Jackson, TN

NPI number 1174773428 Active

Practice location

587 Skyline Dr
Jackson, TN 38301-3938

Call (731) 424-8922 Map

Fax (731) 423-2922

Mailing address

3 Windwood Dr
Jackson, TN 38305-8835

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XMD011299 (TN)

Primary Care Clinic/Center: Definition to come...

24 other providers at this address

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About NPI 1174773428

Internal Medicine Clinic of Jackson PLLC's National Provider Identifier is 1174773428, issued on Sep 23, 2008. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Jackson, TN. The record was last updated on Sep 25, 2008.