NPI 1366643074

Madison Family Practice

Organisation Legal Medicine Madison, TN

Practice location

Address: 1035 E Old Hickory Blvd, Madison, TN 37115-4160
Phone: (615) 868-6464
Fax: (615) 868-7986

Authorised official

Name: John C Jordan
Title: Owner
Phone: (615) 868-6464

Registered specialties

Legal Medicine Primary

Other Service Providers Taxonomy 173000000X Licence MC023806 (TN)

Other Legal Medicine providers in Tennessee →

Registry record

NPI: 1366643074
Entity type: Organization
NPI issued: 30 May 2007
Record last updated: 12 Jul 2010

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.