# MADISON FAMILY PRACTICE

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

## Provider details

- **NPI number:** 1366643074
- **Authorized official:** DR. JOHN C JORDAN M.D. (OWNER)
- **Authorized official phone:** (615) 868-6464

## Contact information

- **Practice address:** 1035 E OLD HICKORY BLVD, MADISON, TN 37115-4160
- **Practice address phone:** (615) 868-6464
- **Practice address fax:** (615) 868-7986
- **Mailing address:** 1035 E OLD HICKORY BLVD, MADISON, TN 37115-4160
- **Mailing address phone:** (615) 868-6464
- **Mailing address fax:** (615) 868-7986

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173000000X | Legal Medicine | MC023806 | TN | Yes |

## Other

- **Enumeration date:** 05/30/2007
- **Last updated:** 07/12/2010