Internal Medicine Clinic Of Jackson Pllc

NPI 1174773428 - Clinic/Center - 261QP2300X

NPI Details
NPI 1174773428
Enumeration Date 09/23/2008
Last Updated 09/25/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name ROBERT HUDSON ROBERT
Position PLLC MEMBER
Phone (731) 424-8922
Fax (731) 423-2922
Practice Location
587 SKYLINE DR
JACKSON TN, 38301-3938, US
Phone (731) 424-8922
Fax (731) 423-2922
Business Location
3 WINDWOOD DR
JACKSON TN, 38305-8835, US
Phone (731) 668-9031
Fax
Toxanomy
Taxonomy Code 261QP2300X
License State Tennessee
License Number MD011299
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According to our database, Internal Medicine Clinic Of Jackson Pllc NPI is 1174773428, taxonomy code is 261QP2300X and license number is MD011299, license state is located at Tennessee. Internal Medicine Clinic Of Jackson Pllc physically located at 587 Skyline Dr, Jackson TN, 38301-3938. NPI Number 1033115704 has the healthcare provider type.

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1174773428 NPI number is provided on an as is basis without warranty of any kind. 1174773428 is maintained by the National Plan & Provider Enumeration System. The contents of Internal Medicine Clinic Of Jackson Pllc are for informational purposes only.