| Madison Clinic Corp | |
|
379 Hospital Blvd Jackson TN 38305-2080 | |
| (731) 660-3476 | |
| Not Available |
| Full Name | Madison Clinic Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 379 Hospital Blvd, Jackson, Tennessee |
| Authorized Official Name and Position | Debbie Brewer (DIRECTOR OF PROVIDER ENROLLMENT) |
| Authorized Official Contact | 6154657626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Clinic Corp 7100 Commerce Way Suite 180 Brentwood TN 37027-2829 Ph: (615) 465-7626 | Madison Clinic Corp 379 Hospital Blvd Jackson TN 38305-2080 Ph: (731) 660-3476 |
| NPI Number | 1437102415 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 09/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437102415 | NPI | - | NPPES |
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