Organization
JACKSON COUNTY MEDICAL CENTER LLC
Active
Parent organization
RESTORATION HEALTHCARE OF CELINA LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RESTORATION HEALTHCARE OF CELINA LLC
Authorized official
MRS. TRICIA L STRONG (CFO)
(931) 243-3581
Entity
Organization
Contact information
Practice address
603 S MURRAY ST, GAINESBORO, TN 38562-9376
(931) 268-5262
Mailing address
100 OLD JEFFERSON STREET, PO BOX 427, CELINA, TN 38551
(931) 243-3581
(931) 243-5291
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
15
TN
Other
Enumeration date
01/28/2008
Last updated
09/26/2008
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