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Organization

TONIA JACKSON MD

Active
Other names
Total Patient Management
Organization subpart
No

Provider details

NPI number
Authorized official
J MONTGOMERY (CREDENTIALING)
(731) 847-7778
Entity
Organization

Contact information

Practice address
766 TENNESSEE AVE S, PARSONS, TN 38363-4607
(731) 847-7778
Mailing address
PO BOX 366, PARSONS, TN 38363-0366
(731) 847-7778

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3889561
TN
Enumeration date
04/19/2018
Last updated
04/19/2018
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