| Superior Health And Wellness Clinic | |
|
1463 S Highland Ave Ste J Jackson TN 38301-7543 | |
| (731) 300-7410 | |
| (731) 300-7420 |
| Full Name | Superior Health And Wellness Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1463 S Highland Ave, Jackson, Tennessee |
| Authorized Official Name and Position | Britney L Petway (OWNER/NURSE PRACTITIONER) |
| Authorized Official Contact | 7313007410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Superior Health And Wellness Clinic 1463 S Highland Ave Ste J Jackson TN 38301-7543 Ph: (731) 300-7410 | Superior Health And Wellness Clinic 1463 S Highland Ave Ste J Jackson TN 38301-7543 Ph: (731) 300-7410 |
| NPI Number | 1366809717 |
|---|---|
| Provider Enumeration Date | 01/15/2016 |
| Last Update Date | 01/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366809717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 15852 (Tennessee) | Primary |
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