Organization
MADISON KIDNEY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERESA LYNN COLLIS (OFFICE MANAGER)
(731) 668-4337
Entity
Organization
Contact information
Practice address
16 MURRAY GUARD DR, JACKSON, TN 38305-3750
(731) 668-4337
(731) 661-0124
Mailing address
16 MURRAY GUARD DR, JACKSON, TN 38305-3750
(731) 668-4337
(731) 661-0124
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/04/2008
Last updated
12/04/2008
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