| Northside Medical Clinic, P.C. | |
|
31 Hughes Dr Jackson TN 38305-1505 | |
| (731) 668-2800 | |
| (731) 668-6161 |
| Full Name | Northside Medical Clinic, P.C. |
|---|---|
| Speciality | Family Medicine |
| Location | 31 Hughes Dr, Jackson, Tennessee |
| Authorized Official Name and Position | John R. Blenis (ADMINISTRATOR) |
| Authorized Official Contact | 7316682800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northside Medical Clinic, P.C. 31 Hughes Dr Jackson TN 38305-1505 Ph: (731) 668-2800 | Northside Medical Clinic, P.C. 31 Hughes Dr Jackson TN 38305-1505 Ph: (731) 668-2800 |
| NPI Number | 1083781595 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 12/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083781595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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