| Family Medical Clinic Of Jackson | |
|
1022 Greystone Sq Jackson TN 38305-3580 | |
| (731) 300-2001 | |
| (731) 240-8095 |
| Full Name | Family Medical Clinic Of Jackson |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1022 Greystone Sq, Jackson, Tennessee |
| Authorized Official Name and Position | Deborah Leggett (OWNER) |
| Authorized Official Contact | 7313002001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Clinic Of Jackson 1022 Greystone Sq Jackson TN 38305-3580 Ph: (731) 300-2001 | Family Medical Clinic Of Jackson 1022 Greystone Sq Jackson TN 38305-3580 Ph: (731) 300-2001 |
| NPI Number | 1215693171 |
|---|---|
| Provider Enumeration Date | 11/15/2021 |
| Last Update Date | 04/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215693171 | NPI | - | NPPES |
| Q054230 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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