Organization
INFECTIOUS DISEASE CONSULTANTS OF JACKSON, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID AHERRERA (DIRECTOR)
(731) 425-6067
Entity
Organization
Contact information
Practice address
43 OAKHAVEN DR, JACKSON, TN 38305-6801
(731) 425-6067
(731) 660-8739
Mailing address
1804 HIGHWAY 45 BYP, SUITE 604, JACKSON, TN 38305-4436
(731) 660-8759
(731) 660-8739
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
10/19/2006
Last updated
05/16/2008
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