| Infectious Disease Consultants Of Jackson, Pc | |
|
43 Oakhaven Dr Jackson TN 38305-6801 | |
| (731) 425-6067 | |
| (731) 660-8739 |
| Full Name | Infectious Disease Consultants Of Jackson, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 43 Oakhaven Dr, Jackson, Tennessee |
| Authorized Official Name and Position | David Aherrera (DIRECTOR) |
| Authorized Official Contact | 7314256067 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease Consultants Of Jackson, Pc 1804 Highway 45 Byp Suite 604 Jackson TN 38305-4436 Ph: (731) 660-8759 | Infectious Disease Consultants Of Jackson, Pc 43 Oakhaven Dr Jackson TN 38305-6801 Ph: (731) 425-6067 |
| NPI Number | 1316029648 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 05/16/2008 |
| Medicare PECOS PAC ID | 8921059882 |
|---|---|
| Medicare Enrollment ID | O20050208000682 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316029648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Julie T Antique |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982623591 PECOS PAC ID: 9234196296 Enrollment ID: I20041213000060 |
| Provider Name | Priscilla Sioson Aherrera |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1346275906 PECOS PAC ID: 6800847765 Enrollment ID: I20070122000316 |
| Provider Name | Barbara E Menzies |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1144330291 PECOS PAC ID: 9638329824 Enrollment ID: I20121024000565 |
| Provider Name | Tina Wilson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376579854 PECOS PAC ID: 9638181076 Enrollment ID: I20160518002744 |
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