Organization
MADISON CLINIC CORP DBA JACKSON PEDIATRIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ELIZABETH CHAMBERS MD (PHYSICIAN)
(731) 664-9928
Entity
Organization
Contact information
Practice address
37 SANDSTONE CIR, JACKSON, TN 38305-2073
(731) 664-9928
(731) 664-9749
Mailing address
37 SANDSTONE CIR, JACKSON, TN 38305-2073
(731) 664-9928
(731) 664-9749
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
38747
TN
Other
Enumeration date
09/01/2005
Last updated
08/22/2020
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