MARIA CAROLINE ANTIQUE

JACKSON, TN
NPI1245278415
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: TN  35423)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: TN  35423)
207Q00000X Family Medicine
(Licence: TN  MD35423)
Enumeration Date2006-06-02
Last Update Date2015-02-26
Business Address
-- MARIA CAROLINE ANTIQUE M.D.
560 MCCELLAN ROAD
JACKSON, TN 38305
Phone number: 731-234-5717
Mailing Address
-- MARIA CAROLINE ANTIQUE M.D.
560 MCCELLAN ROAD
JACKSON, TN 38305-9688
Phone number: 731-234-5717