Organization
COMPREHENSIVE PRIMARY CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM CLAY JACKSON MD (CEO)
(901) 840-1202
Entity
Organization
Contact information
Practice address
76 CAPITAL WAY, SUITE C, ATOKA, TN 38004-6832
(901) 840-1202
(901) 840-1204
Mailing address
76 CAPITAL WAY, SUITE C, ATOKA, TN 38004-6832
(901) 840-1202
(901) 840-1204
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31696
TN
Other
Enumeration date
10/29/2007
Last updated
02/07/2013
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