Family Healthcare Of Jackson | |
2815 N Highland Ave Suite C Jackson TN 38305-1729 | |
(731) 660-6055 | |
(731) 660-6039 |
Full Name | Family Healthcare Of Jackson |
---|---|
Speciality | Family Medicine |
Location | 2815 N Highland Ave, Jackson, Tennessee |
Authorized Official Name and Position | Earl L Stewart (OWNER) |
Authorized Official Contact | 7316606055 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Family Healthcare Of Jackson 2815 N Highland Ave Suite C Jackson TN 38305-1729 Ph: (731) 660-6055 | Family Healthcare Of Jackson 2815 N Highland Ave Suite C Jackson TN 38305-1729 Ph: (731) 660-6055 |
NPI Number | 1407948961 |
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Provider Enumeration Date | 09/29/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407948961 | NPI | - | NPPES |
3832495 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 30977 (Tennessee) | Primary |
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