Creekside Center For Depression And Tms
Psychiatry Physician in Jackson, TN(View on Map)
Legal Business Name
Creekside Center For Depression And Tms
NPI Number
1356617401
NPI Type
Organization
Enumeration Date
03/22/2012
Specialties
(Taxonomies)Name
Code
2084P0800X
103TC0700X
101YP2500X
364SP0808X
103T00000X
Primary Taxonomy
Yes
No
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
174 MURRAY GUARD DR
174 MURRAY GUARD DR
City
Jackson
Jackson
State
TN
TN
Postal Code
38305-3742
38305-3742
Country
US
US
Telephone Number
(731) 660-0199
(731) 660-0199
Authorized Official
Name
Dr. Pepper Pratt
Title or Position
PARTNER
Telephone Number
(731) 660-0199
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/22/2012
Provider Address
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