Individual
DR. MEG ELIZABETH JACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1313 21ST AVE S, 703 OXFORD HOUSE, NASHVILLE, TN 37232-0001
(615) 936-0087
Mailing address
3607 LEGACY DR, SPRINGFIELD, TN 37172-6381
(615) 382-2026
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
41400
TN
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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