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1912138967
TATUM MEDICAL CLINIC
JACKSON, MS
NPI
1912138967
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Entity Type
Organization
Authorized Contact
ROBERT E TATUM
Manager
601-421-3454
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MS 16155)
Enumeration Date
2009-08-06
Last Update Date
2009-08-06
Business Address
TATUM MEDICAL CLINIC
5903 RIDGEWOOD RD STE 330
JACKSON, MS 39211-3702
Phone number: 601-421-3454
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Mailing Address
TATUM MEDICAL CLINIC
5903 RIDGEWOOD RD STE 330
JACKSON, MS 39211-3702
Phone number: 601-421-3454
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