Organization
JACKSON MADISON COUNTY REGIONAL HEALTH DEPARTMENT
Active
Organization
JACKSON MADISON COUNTY REGIONAL HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUILL JAMES BRABHAM JR. (PUBLIC HEALTH REPRESENATIVE)
(731) 423-3020
Entity
Organization
Contact information
Practice address
804 N PARKWAY, JACKSON, TN 38305-3058
(731) 423-3020
(731) 927-8601
Mailing address
804 N PARKWAY, JACKSON, TN 38305-3058
(731) 423-3020
(731) 927-8601
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
0157449RE
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4448133
—
TN
Enumeration date
12/13/2011
Last updated
12/13/2011
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