Organization
BROWNSVILLE MEDICAL CLINIC, P.A.
Active
Parent organization
BROWNSVILLE MEDICAL CLINIC, P.A.
Other names
Old Hickory Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROWNSVILLE MEDICAL CLINIC, P.A.
Authorized official
CLAUDIA WHITE (ADMINISTRATOR)
(731) 660-6828
Entity
Organization
Contact information
Practice address
3363 N HIGHLAND AVE, JACKSON, TN 38305-3487
(731) 660-6828
(731) 660-6820
Mailing address
3363 N HIGHLAND AVE, JACKSON, TN 38305-3487
(731) 660-6828
(731) 660-6820
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
261QP2300X
Primary Care Clinic/Center
MD8895
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3156270
—
TN
05
—
3386790
—
TN
Enumeration date
01/12/2007
Last updated
07/09/2010
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