NPI 1033560826

Podiatry Clinic of Jackson PLLC

Organisation Primary Podiatric Medicine Podiatrist Jackson, TN

Practice location

Address: 657 Skyline Dr STE a, Jackson, TN 38301-3903
Phone: (731) 427-5581
Fax: (731) 427-8257

Authorised official

Name: Judy H Holt
Title: Office Adm/Office Mgr
Phone: (731) 427-5581

Registered specialties (4)

Primary Podiatric Medicine Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213EP1101X Licence DPM213 (TN)

Other Podiatrist providers in Tennessee →

Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence DPM213 (TN)

Radiology Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213ER0200X Licence DPM213 (TN)

Foot Surgery Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0131X Licence DPM213 (TN)

Registry record

NPI: 1033560826
Entity type: Organization
NPI issued: 23 Jun 2016
Record last updated: 4 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.