Individual
DR. MEADE COLUMBIA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
607 W DUE WEST AVE, SUITE 108, MADISON, TN 37115-4431
(615) 868-2476
Mailing address
607 W DUE WEST AVE, SUITE 108, MADISON, TN 37115-4431
(615) 868-2476
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8135
TN
Other
Enumeration date
12/18/2006
Last updated
02/23/2012
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