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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PODIATRY CLINIC OF JACKSON PLLC

Active Organization

PODIATRY CLINIC OF JACKSON PLLC is a Radiology Podiatrist organization located in JACKSON, Tennessee. NPI 1033560826 is currently active in the NPPES registry. Verify at CMS.

Radiology Podiatrist · JACKSON, TN

Registration Details

NPI Number
1033560826
Provider Type
Organization
NPI Issued
Jun 23, 2016 (9.960511727622 yrs)
Last Updated
Oct 4, 2016
Licenses
DPM213 (TN)
DPM213 (TN)
DPM213 (TN)
DPM213 (TN)

Practice Information

Address
657 SKYLINE DR
STE A
JACKSON, TN, 383013903
Browse TN providers · Browse ZIP 38301
Phone
7314275581
Fax
7314278257
Primary Specialty
Radiology Podiatrist
213EP1101X
Additional Specialty
Radiology Podiatrist
Additional Specialty
Foot Surgery Podiatrist
Additional Specialty
Radiology Podiatrist

Other Radiology Podiatrist Organizations in JACKSON, TN

Name NPI
WILLIAM TERRY HOLT 1013319961
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.