Organization
JACKSON MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOB SOUDER (OWNER)
(731) 664-0266
Entity
Organization
Contact information
Practice address
9 PHYSICIANS DR, JACKSON, TN 38305-2071
(731) 661-0086
(731) 660-9055
Mailing address
81 STONEBRIDGE BLVD, JACKSON, TN 38305-2042
(731) 664-8300
(731) 664-9376
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
05/05/2010
Last updated
08/31/2010
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