# ADVANCED REHAB AND MEDICAL, PC

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

## Provider details

- **NPI number:** 1841636057
- **Authorized official:** SHANNON L BONE DC (PRESIDENT)
- **Authorized official phone:** (731) 664-6998

## Contact information

- **Practice address:** 2026 S HIGHLAND AVE, JACKSON, TN 38301-7740
- **Practice address phone:** (731) 935-0090
- **Practice address fax:** (731) 935-0091
- **Mailing address:** 2026 S HIGHLAND AVE, JACKSON, TN 38301-7740

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/14/2013
- **Last updated:** 05/14/2013
