Organization
MERCY CLINIC OF JACKSON, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN PRATT (CLINIC MANAGER)
(606) 693-0343
Entity
Organization
Contact information
Practice address
1550 HIGHWAY 15 S, SUITE 80, JACKSON, KY 41339-7247
(606) 693-0343
(606) 693-0322
Mailing address
1550 HIGHWAY 15 S, SUITE 80, JACKSON, KY 41339-7247
(606) 693-0343
(606) 693-0322
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
31497
KY
Other
Enumeration date
05/30/2007
Last updated
10/04/2007
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