Alliance Medical Clinic Pc | |
21 Meridian Springs Dr Jackson TN 38301-5900 | |
(731) 421-8088 | |
(731) 421-8091 |
Full Name | Alliance Medical Clinic Pc |
---|---|
Speciality | Family Medicine |
Location | 21 Meridian Springs Dr, Jackson, Tennessee |
Authorized Official Name and Position | Marianna Forsythe (DIRECTOR) |
Authorized Official Contact | 7315120104 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Alliance Medical Clinic Pc 21 Meridian Springs Dr Jackson TN 38301-5900 Ph: (731) 421-8088 | Alliance Medical Clinic Pc 21 Meridian Springs Dr Jackson TN 38301-5900 Ph: (731) 421-8088 |
NPI Number | 1629494786 |
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Provider Enumeration Date | 03/13/2014 |
Last Update Date | 07/18/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629494786 | NPI | - | NPPES |
6012010 | Other | TN | BCBST |
Q004761 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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