| NPI | 1417972290 |
|---|---|
| Doing Business As | EAST JACKSON FAMILY MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JAMA M PHILLIPS Director Physician Billing 731-512-1510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QA0000X Family Medicine Adolescent Medicine |
| 207QA0505X Family Medicine Adult Medicine | |
| 207QG0300X Family Medicine Geriatric Medicine | |
| 207R00000X Internal Medicine | |
| 207RA0000X Internal Medicine Adolescent Medicine | |
| 207RG0300X Internal Medicine Geriatric Medicine | |
| 261QR1300X Clinic/Center Rural Health | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2009-12-04 |