Individual
DR. KELECHI EREMINA EMMANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
620 SKYLINE DR, JACKSON, TN 38301-3923
(731) 422-0213
(731) 425-5783
Mailing address
PO BOX 400, JACKSON, TN 38302-0400
(731) 422-0213
(731) 425-5783
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
65404
TN
Other
Enumeration date
04/19/2019
Last updated
09/17/2024
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