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Organization

MARY JANE JAMIESON

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY JANE JAMIESON (OWNER)
(931) 815-8991
Entity
Organization

Contact information

Practice address
1589 SPARTA ST STE 305, MC MINNVILLE, TN 37110-1389
(931) 815-8991
(931) 815-8966
Mailing address
1589 SPARTA ST STE 305, MC MINNVILLE, TN 37110-1389
(931) 815-8991
(931) 815-8966

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0000029552
TN

Other

Enumeration date
04/15/2008
Last updated
04/15/2008
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