Organization · Type 2 NPI
30:17 Recovery
Addiction Medicine (Internal Medicine) Physician · Jackson, TN
Practice location
188 Carriage House Dr
Jackson, TN 38305-3969
Fax (800) 418-1395
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Addiction Medicine (Internal Medicine) Physician Primary | 207RA0401X | None listed |
Addiction Medicine (Internal Medicine) Physician: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
About NPI 1679331284
30:17 Recovery's National Provider Identifier is 1679331284, issued on Mar 8, 2024. The primary taxonomy on file is Addiction Medicine (Internal Medicine) Physician (207RA0401X), and the practice location is in Jackson, TN. The record was last updated on Mar 8, 2024.