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Organization

MADISON FAM WALK IN CLINIC LIMITED

Active
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Organization

MADISON FAM WALK IN CLINIC LIMITED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN FULTON WEEKS BS (CEO)
(731) 423-8600
Entity
Organization

Contact information

Practice address
1660 S HIGHLAND AVE STE J, JACKSON, TN 38301-7797
(731) 423-8600
(731) 423-8636
Mailing address
1660 S HIGHLAND AVE STE J, JACKSON, TN 38301-7797
(731) 423-8600
(731) 423-8636

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3724655
TN
Enumeration date
02/14/2007
Last updated
01/08/2010
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