# JACKSON PATHOLOGY GROUP A PROFESSIONAL CORPORATION

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

## Provider details

- **NPI number:** 1679736516
- **Authorized official:** DR. CHRISTOPHER S GIAMPAPA MD (SECRETARY/TREASURER)
- **Authorized official phone:** (731) 541-6026

## Contact information

- **Practice address:** 708 W FOREST AVE, JACKSON, TN 38301-3901
- **Practice address phone:** (731) 541-6026
- **Practice address fax:** (731) 541-7958
- **Mailing address:** 708 W FOREST AVE, JACKSON, TN 38301-3901
- **Mailing address phone:** (731) 541-6026
- **Mailing address fax:** (731) 541-7958

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZB0001X | Blood Banking & Transfusion Medicine Physician | — | TN | — |
| 207ZC0500X | Cytopathology Physician | — | TN | — |
| 207ZH0000X | Hematology (Pathology) Physician | — | TN | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | TN | Yes |

## Other

- **Enumeration date:** 07/09/2008
- **Last updated:** 09/05/2008