Organization
VASCULAR AND INTERVENTIONAL RADIOLOGY CLINIC OF JACKSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW T GRAHAM MD (PRESIDENT)
(731) 541-6174
Entity
Organization
Contact information
Practice address
300 COATSLAND DR, JACKSON, TN 38301-3908
(731) 541-8854
Mailing address
PO BOX 3614, JACKSON, TN 38303-3614
(731) 541-8854
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
06/13/2008
Last updated
06/13/2008
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