Medical Specialty Clinic P.c.

NPI 1104877703 - Internal Medicine - 207RP1001X

NPI Details
NPI 1104877703
Enumeration Date 05/16/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SANDY V SANDY
Position PRACTICE ADMINISTRATOR
Phone (731) 424-1001
Fax (731) 424-0774
Practice Location
27 MEDICAL CENTER DR
JACKSON TN, 38301-3949, US
Phone (731) 424-1001
Fax (731) 424-0774
Business Location
27 MEDICAL CENTER DR
JACKSON TN, 38301-3949, US
Phone (731) 424-1001
Fax (731) 424-0774
Toxanomy
Taxonomy Code 207RP1001X
License State
License Number
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According to our database, Medical Specialty Clinic P.c. NPI is 1104877703, taxonomy code is 207RP1001X Medical Specialty Clinic P.c. physically located at 27 Medical Center Dr, Jackson TN, 38301-3949. NPI Number 1033115704 has the healthcare provider type.

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1104877703 NPI number is provided on an as is basis without warranty of any kind. 1104877703 is maintained by the National Plan & Provider Enumeration System. The contents of Medical Specialty Clinic P.c. are for informational purposes only.