Individual
DR. GORDON JACKSON JACOBS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
485 N CHANCERY ST, MC MINNVILLE, TN 37110-2049
(931) 507-5000
(931) 507-5550
Mailing address
PO BOX 271, MC MINNVILLE, TN 37111-0271
(931) 507-5000
(931) 507-5550
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD010995
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3164944
—
TN
Enumeration date
02/11/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us