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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