# MARY JANE JAMIESON

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154595767
- **Authorized official:** MARY JANE JAMIESON (OWNER)
- **Authorized official phone:** (931) 815-8991

## Contact information

- **Practice address:** 1589 SPARTA ST STE 305, MC MINNVILLE, TN 37110-1389
- **Practice address phone:** (931) 815-8991
- **Practice address fax:** (931) 815-8966
- **Mailing address:** 1589 SPARTA ST STE 305, MC MINNVILLE, TN 37110-1389
- **Mailing address phone:** (931) 815-8991
- **Mailing address fax:** (931) 815-8966

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD0000029552 | TN | Yes |

## Other

- **Enumeration date:** 04/15/2008
- **Last updated:** 04/15/2008