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1003315524
DIABETES CENTER OF JACKSON, PLLC
JACKSON, TN
NPI
1003315524
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Entity Type
Organization
Authorized Contact
TRACY D LITTLE
Owner
731-602-2778
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2018-02-10
Last Update Date
2018-03-28
Business Address
DIABETES CENTER OF JACKSON, PLLC
2782 N HIGHLAND AVE STE C
JACKSON, TN 38305-1797
Phone number: 731-602-2778
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Mailing Address
DIABETES CENTER OF JACKSON, PLLC
214 CHARLES LATHAM DR
JACKSON, TN 38301-9049
Phone number: 731-602-2778
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