| 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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