Pulmonary Medicine Clinic Of Jackson, Pc

LBN: Pulmonary Medicine Clinic Of Jackson, Pc
Pulmonary Medicine Clinic Of Jackson, Pc is an health care organization with primary practice located at 96 Physicians Dr , Jackson TN 38305-2070. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Pulmonary Medicine Clinic Of Jackson, Pc can be contacted via phone (731) 664-8771, or through Carruth, Larry W via phone (731) 664-8771.

Contact Information

Primary practice address
96 Physicians Dr Jackson TN 38305-2070
Phone: (731) 664-8771
Fax: (731) 660-7050
Website:
Map and Directions
Authorized official contact:
Name: Carruth, Larry W Doctor of Medicine (MD)
Phone: (731) 664-8771

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1245315860
LBN Legal business name Pulmonary Medicine Clinic Of Jackson, Pc
DBA Doing business as
Authorized official Carruth, Larry W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2006
Last updated Jul 21st, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1245315860 NPPES
Tennessee MEDICAID 3709887

Popular Providers