Organization
JACKSON MEDICAL PRODUCTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL CAMPBELL (EXECUTIVE DIRECTOR)
(615) 517-5350
Entity
Organization
Contact information
Practice address
77 BUSINESS PARK DR, LEBANON, TN 37090-1237
(877) 453-3531
(855) 453-3541
Mailing address
77 BUSINESS PARK DR, LEBANON, TN 37090-1237
(877) 453-3531
(855) 453-3541
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0511759
TN
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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