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Organization

MID-SOUTH PERINATAL ASSOCIATES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NATHAN J HOELDTKE MD (PRESIDENT/ CEO)
(731) 541-6836
Entity
Organization

Contact information

Practice address
620 SKYLINE DR., JACKSON, TN 38301
(731) 541-6939
(731) 541-6836
Mailing address
P.O. BOX 11505, JACKSON, TN 38308
(731) 541-6939
(731) 541-6836

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary

Other

Enumeration date
07/27/2006
Last updated
06/26/2019
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