Individual
DR. ERIC J HOMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24 PHYSICIANS DR, JACKSON, TN 38305-2070
(731) 661-9825
(731) 668-6757
Mailing address
24 PHYSICIANS DR, JACKSON, TN 38305-2070
(731) 661-9825
(731) 668-6757
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD21764
TN
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
21764
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1519639
—
TN
Enumeration date
02/19/2007
Last updated
11/02/2015
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