Organization
JACKSON REGIONAL WOMENS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA J HOWELL (PRACTICE ADMINISTRATOR)
(731) 668-4455
Entity
Organization
Contact information
Practice address
72 PHYSICIANS DR, JACKSON, TN 38305-2070
(731) 668-4455
(731) 668-9007
Mailing address
72 PHYSICIANS DR, JACKSON, TN 38305-2070
(731) 668-4455
(731) 668-9007
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3706927
—
TN
Enumeration date
07/14/2006
Last updated
08/22/2020
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