Organization
JACKSON FAMILY MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY L CREGER (BILLING SPECIALIST)
(517) 783-2696
Entity
Organization
Contact information
Practice address
724 W FRANKLIN ST, JACKSON, MI 49201-2008
(517) 784-3100
(517) 784-3200
Mailing address
724 W FRANKLIN ST, JACKSON, MI 49201-2008
(517) 784-3100
(517) 784-3200
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
GL010466
MI
207R00000X
Internal Medicine Physician
JA011504
MI
208D00000X
General Practice Physician
Primary
GL010466
MI
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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