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1083781595
NORTHSIDE MEDICAL CLINIC, P.C.
JACKSON, TN
NPI
1083781595
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Entity Type
Organization
Authorized Contact
JOHN R. BLENIS
Administrator
731-668-2800
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2006-11-29
Last Update Date
2012-12-04
Business Address
NORTHSIDE MEDICAL CLINIC, P.C.
31 HUGHES DR
JACKSON, TN 38305-1505
Phone number: 731-668-2800
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Mailing Address
NORTHSIDE MEDICAL CLINIC, P.C.
31 HUGHES DR
JACKSON, TN 38305-1505
Phone number: 731-668-2800
Copy
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