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Organization
JOINT REPLACEMENT CIN OF JACKSON LLC
Active
Organization
JOINT REPLACEMENT CIN OF JACKSON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HANNON (SVP, MARKETING AND COMMUNICATIONS)
(615) 260-4874
Entity
Organization
Contact information
Practice address
460 BRIARWOOD DR STE 400, JACKSON, MS 39206-3062
(615) 386-0064
Mailing address
102 WOODMONT BLVD STE 350, NASHVILLE, TN 37205-2216
(615) 386-0064
(615) 386-0067
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
Other
Enumeration date
02/23/2018
Last updated
01/12/2022
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