| Jax5, Llc | |
|
2308d Memorial Blvd Springfield TN 37172-3929 | |
| (615) 382-8144 | |
| (615) 382-8145 |
| Full Name | Jax5, Llc |
|---|---|
| Speciality | General Practice |
| Location | 2308d Memorial Blvd, Springfield, Tennessee |
| Authorized Official Name and Position | Chris Edward Jackson (PRESIDENT) |
| Authorized Official Contact | 6158286968 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jax5, Llc 2308d Memorial Blvd Springfield TN 37172-3929 Ph: (615) 382-8144 | Jax5, Llc 2308d Memorial Blvd Springfield TN 37172-3929 Ph: (615) 382-8144 |
| NPI Number | 1558144295 |
|---|---|
| Provider Enumeration Date | 08/16/2023 |
| Last Update Date | 08/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558144295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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