Organization
PLASTIC SURGERY CLINIC OF JACKSON, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARSHALL R YELLEN M.D. (PHYSICIAN)
(731) 668-2490
Entity
Organization
Contact information
Practice address
10 LYNOAK CV, JACKSON, TN 38305-2800
(731) 668-2490
(731) 664-4374
Mailing address
10 LYNOAK CV, JACKSON, TN 38305-2800
(731) 668-2490
(731) 664-4374
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/12/2007
Last updated
08/08/2007
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