Individual
JACK K HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ROGERSVILLE MEDICAL COMPLEX, 4307 HIGHWAY 66 S, ROGERSVILLE, TN 37857-3155
(423) 921-1600
(423) 921-1681
Mailing address
PO BOX 850, ROGERSVILLE, TN 37857-0850
(423) 921-1600
(423) 921-1681
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
18241
AL
207Q00000X
Family Medicine Physician
Primary
28163
TN
Other
Enumeration date
01/10/2007
Last updated
06/06/2018
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