Organization
FRIX-JENNINGS CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAREY WALLACE FRIX MD (PRESIDENT)
(731) 989-0001
Entity
Organization
Contact information
Practice address
116 W MAIN ST, HENDERSON, TN 38340-2231
(731) 989-0001
(731) 989-5151
Mailing address
116 W MAIN ST, HENDERSON, TN 38340-2231
(731) 989-0001
(731) 989-5151
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34836
TN
207R00000X
Internal Medicine Physician
34823
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3372940
—
TN
01
—
DA6267
RAILROAD MEDICARE
TN
Enumeration date
04/17/2007
Last updated
03/07/2008
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