Organization
JACKSON CLINIC PA
Active
Parent organization
JACKSON CLINIC PA
Other names
JACKSON CLINC PA DME
Organization subpart
Yes
Provider details
NPI number
Legal business name
JACKSON CLINIC PA
Authorized official
MARK ALLEN (C.E.O.)
(731) 422-0330
Entity
Organization
Contact information
Practice address
145 INNOVATION DR, JACKSON, TN 38305-3019
(731) 422-0213
Mailing address
PO BOX 400, JACKSON, TN 38302-0400
(731) 423-8697
(731) 425-5783
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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