Bethany Ann Wardlow in Jackson - Family Medicine
Bethany Ann Wardlow - NPI 1265566483
Bethany Ann Wardlow is a Family Medicine in Jackson, Tennessee. Bethany Ann Wardlow practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Bethany Ann Wardlow is 1265566483. The last update date is 2012-11-29.
Bethany Ann Wardlow's current location address is Po Box 400, Jackson, Tennessee. You can contact this provider via phone number 7314238697 and fax number 7314225743. The mailing address for Bethany Ann Wardlow is Po Box 400, Jackson, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bethany Ann Wardlow |
|---|---|
| Address | Po Box 400, Jackson, Tennessee |
| Phone Number | 7314238697 |
| Fax Number | 7314225743 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1265566483 |
|---|---|
| Provider Enumeration Date | 2007-03-16 |
| Last Updated Date | 2012-11-29 |
Provider Mailing Address Detail
| Address | Po Box 400 |
|---|---|
| City | Jackson |
| State | Tennessee (TN) |
| Post Code | 383020400 |
| Phone Number | 7314238697 |
| Fax Number | 7314225743 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 45434 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1518613 | TN | -- |
Post Comment/ Review Below
What is the Bethany Ann Wardlow's 1265566483?
The Bethany Ann Wardlow's NPI (National Provider Identifier) Number is 1265566483. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Bethany Ann Wardlow's facilities are situated?
The facilities of Bethany Ann Wardlow are physically located at the following address: Po Box 400, Jackson, TN, 383020400.
What is Bethany Ann Wardlow's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Bethany Ann Wardlow is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did the Bethany Ann Wardlow receive the assignment of its 1265566483 from the Centers for Medicare & Medicaid Services?
The Bethany Ann Wardlow was issued its 1265566483 by the Centers for Medicare & Medicaid Services on 2007-03-16.
As of what date was the information regarding Bethany Ann Wardlow, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bethany Ann Wardlow, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-11-29.
NPI Number: 1528061793
Address: 103 A South Park Dr., Brownwood, TX