Organization

Integrated Medical Staff Of Jackson Pc

Legal Business Name

Integrated Medical Staff Of Jackson Pc

NPI Number

1659779445

NPI Type

Organization

Enumeration Date

12/11/2014

Contact
Information

Purpose

Mailing
Location

Address

828 N PARKWAY
828 N PARKWAY

City

Jackson
Jackson

State

TN
TN

Postal Code

38305-3032
38305-3032

Country

US
US

Telephone Number

(731) 422-0330
(731) 422-0330

Authorized Official

Name

Mr. Mark Allen

Title or Position

CEO

Telephone Number

(731) 422-0330

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/11/2014

Provider Address