Organization
PREWITT MEDICAL CARE CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRION JEWAYNE PREWITT M.D. (OWNER)
(731) 285-7530
Entity
Organization
Contact information
Practice address
503 E TICKLE ST, SUITE C, DYERSBURG, TN 38024-3165
(731) 285-7530
(731) 286-5046
Mailing address
1804 HIGHWAY 45 BYP, SUITE 604, JACKSON, TN 38305-4436
(731) 660-8759
(731) 660-8739
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
—
—
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RN0300X
Nephrology Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
Other
Enumeration date
07/13/2006
Last updated
12/13/2010
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