Individual
DR. MABBU JAYAKUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
168 W UNIVERSITY PKWY STE C, JACKSON, TN 38305-1624
(731) 512-3812
(731) 512-3813
Mailing address
PO BOX 12484, JACKSON, TN 38308-0143
(731) 512-3812
(731) 512-3813
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD0000025230
TN
Other
Enumeration date
08/14/2006
Last updated
04/17/2008
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