Organization
HOSPITALISTS OF JACKSON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT J BUNKER (CHAIRMAN/PRESIDENT/CEO)
(904) 805-1300
Entity
Organization
Contact information
Practice address
367 HOSPITAL BLVD, JACKSON, TN 38305-2080
(731) 661-2185
(731) 661-2187
Mailing address
PO BOX 534255, ATLANTA, GA 30353-4255
(800) 514-1494
(904) 805-1456
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3727496
—
TN
Enumeration date
05/03/2006
Last updated
08/27/2008
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