PRIMARY CARE SPECIALISTS SOUTH PLLC NPI 1467555763

NPI Information

PRIMARY CARE SPECIALISTS SOUTH PLLC is a family nurse practitioner in Jackson, TN. PRIMARY CARE SPECIALISTS SOUTH PLLC NPI is 1467555763. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1385 S HIGHLAND AVE
SUITE B1
JACKSON, TN
ZIP 38301-525
Phone: (731) 427-0470
Fax: (731) 427-0995

The provider's authorized official is Dr John Michael Briley .
The authorized official title is Owner and has the following contact phone number (731) 427-0470.

The CLIA number assigned to this NPI record is 44D2180993 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/6/2006 and was last updated on 3/30/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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