Individual
DR. PRATHMESH JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
569 SKYLINE DR, SUITE 100, JACKSON, TN 38301-3911
(731) 427-7888
(731) 265-4168
Mailing address
569 SKYLINE DR, SUITE 100, JACKSON, TN 38301-3911
(731) 427-7888
(731) 265-4168
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
618
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3709355
—
TN
Enumeration date
12/14/2007
Last updated
08/08/2008
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