Internal Medicine Clinic Of Jackson Pllc | |
587 Skyline Dr Jackson TN 38301-3938 | |
(731) 424-8922 | |
(731) 423-2922 |
Full Name | Internal Medicine Clinic Of Jackson Pllc |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 587 Skyline Dr, Jackson, Tennessee |
Authorized Official Name and Position | Robert Hudson Dunnebacke (PLLC MEMBER) |
Authorized Official Contact | 7316689031 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Internal Medicine Clinic Of Jackson Pllc 3 Windwood Dr Jackson TN 38305-8835 Ph: (731) 668-9031 | Internal Medicine Clinic Of Jackson Pllc 587 Skyline Dr Jackson TN 38301-3938 Ph: (731) 424-8922 |
NPI Number | 1174773428 |
---|---|
Provider Enumeration Date | 09/23/2008 |
Last Update Date | 09/25/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174773428 | NPI | - | NPPES |
3182200 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | MD011299 (Tennessee) | Primary |
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