Jackson Clinic Pa in Jackson - Gastroenterology
Jackson Clinic Pa - NPI 1285629386
Jackson Clinic Pa is a Gastroenterology in Jackson, Tennessee. Jackson Clinic Pa practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Jackson Clinic Pa is 1285629386. The last update date is 2023-10-24.
Jackson Clinic Pa's current location address is 2863 Highway 45 Byp, Jackson, Tennessee. You can contact this provider via phone number 7316641375 and fax number 7316641378. The mailing address for Jackson Clinic Pa is 2863 Highway 45 Byp, Jackson, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jackson Clinic Pa |
|---|---|
| Address | 2863 Highway 45 Byp, Jackson, Tennessee |
| Phone Number | 7316641375 |
| Fax Number | 7316641378 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | C.E.O. |
|---|---|
| Authorized Official Name | Allen Mark |
| Telephone Number | 7314220330 |
NPI Number Detail
| NPI Number | 1285629386 |
|---|---|
| Provider Enumeration Date | 2005-09-14 |
| Last Updated Date | 2023-10-24 |
Provider Mailing Address Detail
| Address | 2863 Highway 45 Byp |
|---|---|
| City | Jackson |
| State | Tennessee (TN) |
| Post Code | 383053618 |
| Phone Number | 7316641375 |
| Fax Number | 7316641378 |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
|
Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3370007 | TN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jackson Clinic Pa by the Centers for Medicare & Medicaid Services?
The Jackson Clinic Pa has been assigned the NPI (National Provider Identifier) 1285629386. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jackson Clinic Pa is located?
The Jackson Clinic Pa is situated at the following address: 2863 Highway 45 Byp, Jackson, TN, 383053618.
What is Jackson Clinic Pa's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jackson Clinic Pa's area of specialization is Gastroenterology, and the corresponding taxonomy code that categorizes this field of practice is 207Rg0100X.
When did the Jackson Clinic Pa receive its 1285629386?
The Jackson Clinic Pa was issued its 1285629386 on 2005-09-14, which is the date when the organization was assigned this unique identifier.
When was the Jackson Clinic Pa's information last updated?
The Jackson Clinic Pa's information was last updated on 2023-10-24.