Individual
JACK YI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MBA
Contact information
Practice address
1161 21ST AVENUE SOUTH, CCC-4322AA MCN, NASHVILLE, TN 37232-2730
(615) 343-6642
Mailing address
1161 21ST AVENUE SOUTH, CCC-4322AA MCN, NASHVILLE, TN 37232-2730
(615) 343-6642
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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