Organization
JACKSON MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES WILLIAM JACKSON M.D. (PHYSICIAN/OWNER)
(615) 446-1124
Entity
Organization
Contact information
Practice address
222 CHURCH ST, DICKSON, TN 37055-1304
(615) 446-1124
(615) 446-3511
Mailing address
222 CHURCH ST, DICKSON, TN 37055-1304
(615) 446-1124
(615) 446-3511
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD10781
TN
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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