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Organization

JOINT REPLACEMENT CIN OF JACKSON LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN HANNON (SVP, MARKETING AND COMMUNICATIONS)
(615) 260-4874
Entity
Organization

Contact information

Practice address
460 BRIARWOOD DR STE 400, JACKSON, MS 39206-3062
(615) 386-0064
Mailing address
102 WOODMONT BLVD STE 350, NASHVILLE, TN 37205-2216
(615) 386-0064
(615) 386-0067

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
207XS0117X
Orthopaedic Surgery of the Spine Physician

Other

Enumeration date
02/23/2018
Last updated
01/12/2022
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