Organization · Type 2 NPI

Brownsville Medical Clinic, P.a.

Specialist · Jackson, TN

NPI number 1508916206 Active

Practice location

3363 N Highland Ave
Jackson, TN 38305-3487

Fax (731) 660-6820

Specialties and licenses

Taxonomy	Code	License
Specialist Primary	174400000X	None listed
Primary Care Clinic/Center	261QP2300X	MD8895 (TN)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

4 other providers at this address

Other specialist providers in Jackson

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NPI record

NPI: 1508916206
Entity type: Organization (Type 2)
Issued: Jan 12, 2007
Last updated: Jul 9, 2010
Status: Active
Subpart: Yes of Brownsville Medical Clinic, P.a.

Other names

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Old Hickory Family Medicine · doing business as

Authorized official

Claudia White
Administrator
(731) 660-6828

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1508916206

Brownsville Medical Clinic, P.a.'s National Provider Identifier is 1508916206, issued on Jan 12, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Jackson, TN. The record was last updated on Jul 9, 2010.