| Dr Jeremy T Blake, MD | |
|
264 Coatsland Dr., Jackson, TN 38301 | |
| (731) 423-1500 | |
| (731) 423-0342 |
| Full Name | Dr Jeremy T Blake |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 264 Coatsland Dr., Jackson, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770671018 | NPI | - | NPPES |
| 5440909 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD0000031623 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeremy T Blake, MD 264 Coatsland Dr., Jackson, TN 38301 Ph: (731) 423-1500 | Dr Jeremy T Blake, MD 264 Coatsland Dr., Jackson, TN 38301 Ph: (731) 423-1500 |
Lisa M Piercey, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305 Phone: 731-664-1375 Fax: 731-660-8370 | |
Amy E Johnson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-660-8369 | |
Deepank Sahni, Pediatrics Medicare: Medicare Enrolled Practice Location: 1535 Vann Dr, Jackson, TN 38305 Phone: 901-287-7337 | |
William H Woods Jr., MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305 Phone: 731-664-1375 Fax: 731-660-8370 | |
Mr. Jerrold Jay Kartzinel, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 174 Murray Guard Dr Ste C, Jackson, TN 38305 Phone: 949-398-7654 Fax: 949-407-6788 | |
Katherine E Mcknight, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-660-8369 | |
Mary Elisabeth Neal Anderson, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305 Phone: 731-664-1375 Fax: 731-660-8336 |