# FRIX-JENNINGS CLINIC PC

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

## Provider details

- **NPI number:** 1174749469
- **Authorized official:** CAREY WALLACE FRIX MD (PRESIDENT)
- **Authorized official phone:** (731) 989-0001

## Contact information

- **Practice address:** 116 W MAIN ST, HENDERSON, TN 38340-2231
- **Practice address phone:** (731) 989-0001
- **Practice address fax:** (731) 989-5151
- **Mailing address:** 116 W MAIN ST, HENDERSON, TN 38340-2231
- **Mailing address phone:** (731) 989-0001
- **Mailing address fax:** (731) 989-5151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 34836 | TN | Yes |
| 207R00000X | Internal Medicine Physician | 34823 | TN | — |

## Other

- **Enumeration date:** 04/17/2007
- **Last updated:** 03/07/2008
