| Wellfit Medicine And Nutrition Jackson, Pllc | |
|
101 Executive Dr Jackson TN 38305-2318 | |
| (731) 300-3372 | |
| (731) 300-3374 |
| Full Name | Wellfit Medicine And Nutrition Jackson, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 101 Executive Dr, Jackson, Tennessee |
| Authorized Official Name and Position | Jeremy M Draper (OWNER) |
| Authorized Official Contact | 7313003372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellfit Medicine And Nutrition Jackson, Pllc 101 Executive Dr Jackson TN 38305-2318 Ph: (731) 300-3372 | Wellfit Medicine And Nutrition Jackson, Pllc 101 Executive Dr Jackson TN 38305-2318 Ph: (731) 300-3372 |
| NPI Number | 1417219189 |
|---|---|
| Provider Enumeration Date | 06/08/2012 |
| Last Update Date | 06/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417219189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 45520 (Tennessee) | Primary |
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