Organization
JAYMARK MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES L ADKINS (PARTNER)
(615) 563-9501
Entity
Organization
Contact information
Practice address
369 ADAMS RIDGE LN, WOODBURY, TN 37190-6505
(615) 563-9501
(615) 563-9502
Mailing address
369 ADAMS RIDGE LN, WOODBURY, TN 37190-6505
(615) 563-9501
(615) 563-9502
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0301400001
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0143558
BLUE CROSS BLUE SHEILD
TN
01
—
0301400001
MEDICARE NCS ID NUMBER
TN
05
—
1450018
—
TN
Enumeration date
01/26/2007
Last updated
08/22/2020
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