Individual
DR. ROBERT A JACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2010 QUAIL HOLLOW CIR, FRANKLIN, TN 37067-5967
(615) 807-4020
(615) 807-4022
Mailing address
PO BOX 682749, FRANKLIN, TN 37068-2749
(615) 807-4020
(615) 807-4022
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD13141
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588204
UNITED HEALTHCARE
TN
01
—
260010800
RAILROAD MEDICARE
TN
05
—
3025734
—
TN
01
—
35759
BCBS
TN
Enumeration date
01/04/2006
Last updated
08/19/2009
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