Individual
WILLIAM CLAY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
76 CAPITAL WAY STE C, ATOKA, TN 38004-6866
(901) 840-1202
(901) 840-1204
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
31696
TN
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
31696
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01751779
—
MS
05
—
1508274
—
TN
05
—
155538001
—
AR
Enumeration date
08/11/2005
Last updated
04/17/2026
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