# FAMILY HEALTHCARE OF JACKSON

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

## Provider details

- **NPI number:** 1407948961
- **Authorized official:** EARL L STEWART MD (OWNER)
- **Authorized official phone:** (731) 660-6055

## Contact information

- **Practice address:** 2815 N HIGHLAND AVE, SUITE C, JACKSON, TN 38305-1729
- **Practice address phone:** (731) 660-6055
- **Practice address fax:** (731) 660-6039
- **Mailing address:** 2815 N HIGHLAND AVE, SUITE C, JACKSON, TN 38305-1729
- **Mailing address phone:** (731) 660-6055
- **Mailing address fax:** (731) 660-6039

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 30977 | TN | Yes |

## Other

- **Enumeration date:** 09/29/2006
- **Last updated:** 08/22/2020