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1720859119
JACK NEELY HALTON
MEMPHIS, TN
NPI
1720859119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2024-01-15
Last Update Date
2024-01-15
Business Address
Mr. JACK NEELY HALTON PA-C
1030 JEFFERSON AVE
MEMPHIS, TN 38104-2127
Phone number: 901-523-8990
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Mailing Address
Mr. JACK NEELY HALTON PA-C
4207 S DALE MABRY HWY UNIT 2302
TAMPA, FL 33611-1431
Phone number: 904-521-8111
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