Organization
WEST TENNESSEE ORTHOPEDICS AND SPORTS MEDICINE,P.C.
Active
Other names
Sports, Orthopedics & Spine
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAY JORDAN (ADMINISTRATOR)
(731) 427-7888
Entity
Organization
Contact information
Practice address
569 SKYLINE DR, SUITE 100, JACKSON, TN 38301-3911
(731) 427-7888
(731) 265-4152
Mailing address
569 SKYLINE DR, SUITE 100, JACKSON, TN 38301-3911
(731) 427-7888
(731) 265-4152
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
26655
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3709355
—
TN
Enumeration date
07/05/2006
Last updated
01/05/2011
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