# JACKSON ENDOCRINE AND DIABETES CENTER PC

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

## Provider details

- **NPI number:** 1538221551
- **Authorized official:** ERNEST K ANTWI M.D. (OWNER)
- **Authorized official phone:** (731) 421-8908

## Contact information

- **Practice address:** 110 E FOREST AVE, JACKSON, TN 38301-4124
- **Practice address phone:** (731) 421-8908
- **Practice address fax:** (731) 421-8469
- **Mailing address:** PO BOX 1798, DEPT 07-028, MEMPHIS, TN 38101-1798
- **Mailing address phone:** (731) 421-8908
- **Mailing address fax:** (731) 421-8469

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/15/2006
- **Last updated:** 05/13/2013