Organization
GREYSTONE MEDICAL CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCUS ANTONIO DESIO M.D. (OWNER)
(731) 661-1031
Entity
Organization
Contact information
Practice address
1044 GREYSTONE SQUARE, JACKSON, TN 38305
(731) 661-1031
(731) 664-5496
Mailing address
1044 GREYSTONE SQUARE, JACKSON, TN 38305
(731) 661-1031
(731) 664-5496
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TN0000030429
TN
2084N0400X
Neurology Physician
TN0000030429
TN
363LA2100X
Acute Care Nurse Practitioner
Primary
APN10467
TN
Other
Enumeration date
06/24/2006
Last updated
09/11/2025
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