| Eze Clinic P.c. | |
|
2777 N Highland Ave Jackson TN 38305-1740 | |
| (731) 661-0067 | |
| (731) 661-0533 |
| Full Name | Eze Clinic P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2777 N Highland Ave, Jackson, Tennessee |
| Authorized Official Name and Position | Sarah Eze (ADMINISTRATOR) |
| Authorized Official Contact | 7316610067 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eze Clinic P.c. 2777 N Highland Ave Jackson TN 38305-1740 Ph: (731) 661-0067 | Eze Clinic P.c. 2777 N Highland Ave Jackson TN 38305-1740 Ph: (731) 661-0067 |
| NPI Number | 1144253279 |
|---|---|
| Provider Enumeration Date | 07/09/2006 |
| Last Update Date | 07/30/2009 |
| Medicare PECOS PAC ID | 5698754109 |
|---|---|
| Medicare Enrollment ID | O20040719000207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144253279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 28175 (Tennessee) | Primary |
| Provider Name | Gift Eze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457384588 PECOS PAC ID: 8224017736 Enrollment ID: I20051109000642 |
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