# COMPREHENSIVE PRIMARY CARE PLLC

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

## Provider details

- **NPI number:** 1245419043
- **Authorized official:** DR. WILLIAM CLAY JACKSON MD (CEO)
- **Authorized official phone:** (901) 840-1202

## Contact information

- **Practice address:** 76 CAPITAL WAY, SUITE C, ATOKA, TN 38004-6832
- **Practice address phone:** (901) 840-1202
- **Practice address fax:** (901) 840-1204
- **Mailing address:** 76 CAPITAL WAY, SUITE C, ATOKA, TN 38004-6832
- **Mailing address phone:** (901) 840-1202
- **Mailing address fax:** (901) 840-1204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 31696 | TN | Yes |

## Other

- **Enumeration date:** 10/29/2007
- **Last updated:** 02/07/2013