Individual
JACK T PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1602 HATCHER LANE, COLUMBIA, TN 38401
(931) 377-0777
(931) 388-1548
Mailing address
1602 HATCHER LANE, COLUMBIA, TN 38401
(931) 388-0777
(931) 388-1548
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD15598
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3403473
—
TN
Enumeration date
06/15/2006
Last updated
05/23/2011
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